The client at 37 weeks' gestation calls the clinic nurse to report that neither she nor her partner has felt fetal movement for the past 48 hours. The nurse anticipates that the physician will order which test to assess fetal viability?
1. Ultrasound
2. Serum progesterone levels
3. Computed tomography (CT) scan
4. Contraction stress test
1
Explanation: 1. Diagnosis of intrauterine fetal death (IUFD) is confirmed by visualization of the fetal heart with absence of heart action on ultrasound.
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The plan of care for a woman newly diagnosed with a BRCA1 mutation should include which strategy?
A) Preoperative planning for immediate prophylactic double mastectomies B) A recommendation for enhanced screening for breast and ovarian cancer C) Reassurance that male offspring with BRCA1 do not develop breast cancer D) Reassurance that the BRCA1 gene protects against ovarian cancer
The nurse is assigned to a child who has a platelet count of 15,000 per cubic millimeter. The nurse realizes that which of the following is true?
a. A blood thinner such as Coumadin needs to be considered by the physician. b. There is a serious danger of infection even from normal skin bacteria. c. This is a normal platelet count, and there is nothing to worry about in regard to platelets. d. The child has a high risk of spontaneous bleeding, which can be life threatening.
In the clinical setting today you were the student nurse caring for a terminally ill patient who was in intractable pain
The staff nurse also assigned to this patient administered a high dose of pain medication to the patient who died less than 30 minutes later. The nurse explained to you that the hastening of the patient's death was foreseen but was not the intended effect of the administration of the dose of pain medication. This is an example of: a. terminal sedation b. rule of double effect c. active euthanasia d. passive euthanasia e. none of the above
When providing care,
A) do whatever is instructed by your supervisor without question. B) always respect the patient and her belongings. C) never allow a patient to refuse a procedure. D) scope of practice is not an issue.