The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
a. A well-oxygenated fetus
b. Compression of the umbilical cord
c. Compression of the fetal head
d. Uteroplacental insufficiency
ANS: A
Accelerations in the fetal heart rate suggest that the fetus is well oxygenated.
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The LPN/LVN in a long-term health care facility may perform in the roles of: (Select all that apply.)
a. charge nurse. b. designer of nursing care plans. c. administrator of medications. d. administrator of wound care. e. assignment delegator.
Which can cause part of a lung to collapse?
a. Deep breathing and coughing b. Mucus collecting in the airway c. Mechanical ventilation d. Suctioning
A nurse is reinforcing instructions to use the incentive spirometer. Further teaching is necessary if the patient states:
1. "I was able to get the ball up to the marked level today." 2. "I blew into that thing 10 times a little while ago." 3. "I've been using the incentive spirometer every hour." 4. "I feel so tired when I finish using the incentive spirometer."
Which action should the nurse take 30 minutes after administering oral pain medication to a patient?
A. Evaluate the effectiveness of the administered pain medication B. Teach progressive relaxation strategies to relieve muscle tension C. Assess the patient coping skills to reduce expressed anxiety D. Encourage the patient to read or watch TV to provide pain distraction