The labor and delivery nurse is reviewing charts. The nurse should inform the supervisor about which client?
1. Client at 5 cm requesting labor epidural analgesia
2. Client whose cervix remains at 6 cm for 4 hours
3. Client who has developed nausea and vomiting
4. Client requesting her partner to stay with her
2
Explanation: 2. Average cervical change in the active phase of the first stage of labor is 1.2 cm/hour; thus, this client's lack of cervical change is unexpected, and should be reported to the supervisor.
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Nurses play an important role in providing health education to patients. Who is ultimately responsible for maintaining and promoting health?
A) Classroom teachers B) Parents C) Physicians D) Patients
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Indicate whether the statement is true or false
The client receives temazepam (Restoril) at bedtime for sleep. The client tells the nurse that he also has a glass of wine before bed to help him sleep. What is the nurse's best response?
1. "One glass of wine is okay, but be sure not to have more than that." 2. "Combining wine with your medication will decrease the effectiveness of your medication." 3. "This is okay as long as you have a high-fat meal with your wine." 4. "Combining wine with your medication can sedate you and cause breathing problems."
A nurse is caring for a client with chronic kidney disease. The client has elevated serum phosphorus levels, which may lead to:
A) Low serum calcium levels. B) Hypokalemia C) Aggravated uremia. D) Brittle bones.