The nurse is admitting a patient to the labor and delivery unit. While performing the initial assessment, which assessment is the priority?
a. The number of previous pregnancies
b. When the baby is due
c. When the patient last ate
d. The timing of contractions
ANS: D
Assessment begins with timing the contractions on admission to form a database.
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The nurse is working in the Emergency Department and is assessing the client who is experiencing paradoxic movements of the right lung. The nurse should further assess the client for:
1. apnea. 2. heart failure. 3. rib fractures. 4. contusion.
A facility is inspected after it has obtained a permit. The inspection is completed for the purpose of observing whether the plans submitted in the permit application are being implemented as ap-proved
Which of the following environmental protection strategies is being applied? a. Controlling pollution b. Waste minimization c. Land use planning d. Environmental monitoring
The nurse assesses the stoma of a client who has an ureterostomy and observes fine white crystals around the stoma. Which should the nurse implement?
1. Brush away the crystals with a cloth. 2. Apply a new, well-fitting skin barrier. 3. Increase the dietary protein and fluids. 4. Cleanse with a warm vinegar solution.
A client exercises regularly and wants to make sure he has sufficient energy for his workouts. The type of nutrient that will be most helpful in providing the energy he needs is
a. carbohydrates b. water c. minerals d. protein