A primigravida is admitted to the labor unit with contractions every seven to eight minutes. She is 3 cm dilated, 70% effaced, and at 0 station
She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes. Which of the following would be the most effective nursing intervention? A. Instruct the client in abdominal breathing and progressive relaxation.
B. Instruct the client in patterned paced breathing and touch relaxation.
C. Instruct the client in pelvic tilt and pelvic rock exercises.
D. Call the physician and request a sedative.
A
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1. Diarrhea 2. Constipation 3. Increased BUN 4. Gastric irritation and bleeding
What major complication is associated with oral intake in the client with a decreased level of consciousness?
A) Distended abdomen B) Nausea C) Aspiration D) Pocketing of food
A client with cancer of the rectum is scheduled for surgery and the placement of a permanent ostomy. The nurse includes discussion of which of the following types of ostomies in the client's presurgical education plan?
1. Sigmoid 2. Duodenal 3. Double-barrel 4. Transverse loop
The nurse instructs Ms. Hall on BSE. When should Ms. Hall perform BSE?
A) On the 4th to 7th day of the menstrual cycle B) During the menstrual period C) Just before the menstrual period D) In the middle of the cycle