The nurse is seeing a patient in the clinic who states that she had precipitous deliveries with her first two babies
With this history, the nurse will want to provide what care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Monitoring the woman for cervical effacement
2. Monitoring the woman for cervical dilatation later in the pregnancy
3. Scheduling an induction
4. Using magnesium sulfate to stop labor
5. Giving the woman sedatives to relax the uterus
1,2,3
Rationale 1: As labor progresses, the woman will be monitored for cervical effacement.
Rationale 2: The woman will be watched closely in the last month for cervical dilatation.
Rationale 3: An induction is sometimes scheduled so the patient is in a controlled situation for the birth.
Rationale 4: Magnesium sulfate has not been proven to be helpful with precipitous labor.
Rationale 5: Sedatives would not be given to relax the uterus.
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The nurse notes a run of three ventricular contractions (PVC) that are not preceded by a P wave. This particular arrhythmia can progress into:
a. atrial fibrillation and possible emboli. b. sinus tachycardia and syncope. c. ventricular tachycardia and death. d. sinus bradycardia and fatigue.
The nurse is caring for a child who is experiencing acute renal transplant rejection. Which of the following would the nurse most likely expect to find after the child receives the first dose of Muromonab-CD3?
A) Fever with chills, chest tightness B) Cough, hyperkalemia C) Photosensitivity, GI upset D) Urinary retention, decreased appetite
The nurse monitoring hourly urine output in a client following transsphenoidal hypophysectomy would immediately report
a. 100 ml of urine in 1 hour. b. 150 ml of urine in 1 hour. c. 175 ml of urine in 1 hour. d. 225 ml of urine in 1 hour.
What are the benefits of an advance directive? (Select all that apply.)
a. It is legally binding. b. It remains in effect until the family changes it. c. It prevents last-minute confusion about the wishes of the patient. d. It prevents violation of end-of-life choices. e. It clarifies end-of-life issues for the family.