The clinic nurse obtains a history from women who wish to use a cervical cap as their method of contraception. Relative or absolute contraindications to this contraceptive device include:
Select all answers that apply:
A) Human papillomavirus infection
B) History of an abnormal pap smear
C) Latex allergy
D) Nulliparity
A, B, C
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1. Secretions are present at the stoma opening. 2. Granulation tissue is noted at the stoma site. 3. The patient has developed a dry cough. 4. The skin at the stoma opening is flaky.
1. Zero the transducer at the phlebostatic axis. 2. Place the patient in Trendelenburg position. 3. Warm cardiac output injectate fluid to body temperature. 4. Prepare 20 mL of injectate.
A nurse is planning care for a client who has chronic kidney disease. Which of the following interventions would help the client meet a priority outcome?
a. Delegate monitoring vital signs during dialysis to the nurses' aide. b. Instruct the client not to get out of bed without assistance. c. Place a sign on the door outlining the fluid allotment for each shift. d. Plan to weigh the client each morning on the same scale.
Which client statement alerts the nurse that the stage of depression may have started within the grief process?
a. "I just need to live long enough to see my daughter get married." b. "I can't seem to stop crying about the diagnosis." c. "I need to get to the attorney to finish my will." d. "I am going to see another doctor - this diagnosis is wrong."
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal, and the estimated blood loss (EBL) was approximately 1500 mL. When assessing the woman's vital signs, the nurse would be concerned to see:
a. Temperature 37.9° C, heart rate 120, respirations 20, blood pressure (BP) 90/50. b. Temperature 37.4° C, heart rate 88, respirations 36, BP 126/68. c. Temperature 38° C, heart rate 80, respirations 16, BP 110/80. d. Temperature 36.8° C, heart rate 60, respirations 18, BP 140/90.