Which symptom is the laboring client with a fetus in persistent occiput posterior position most likely to exhibit?
a. Perineal pressure c. Rectal pressure
b. Nausea and vomiting d. Low back pain
D
Maternal back pain is common in occiput posterior presentations.
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A patient is hemorrhaging from a laceration of the artery in the lower leg. To control the bleeding, the nurse should apply pressure on the:
A) Brachial artery B) Femoral artery C) Femoral vein D) Radial artery
A client has paralysis of the right medial rectus muscle of the right eye. Which assessment finding assists the nurse in validating this diagnosis?
a. Client is unable to turn the eye in toward the nose. b. Client is unable to lift the upper eyelid. c. Client cannot look downward. d. Client cannot look upward.
The physician ordered a beta blocker for a client. The nurse checks vital signs for this client. Which vital sign would cause the nurse to question administering the medication?
1. Temperature 99.4°F 2. Blood pressure 148/62 3. Respirations 18 breaths per minute 4. Pulse 48 beats per minute
A client with SPMI is experiencing auditory hallucinations as a result of her schizophrenia. During the current discussion with the nurse, the client is referring to the hallucinations and implying that the nurse can also hear the hallucinations
Which of the nurse's following responses is most therapeutic? A) "Do you think that I'm also able to hear what you're hearing?" B) "I know that you're hearing voices right now, but I'm not able to hear them." C) "You're imagining things because of your schizophrenia." D) "Let's move on to talking about something else."