Persistent early decelerations are noted. What would the nurse's first action be?
1. Turn the mother on her left side and give oxygen.
2. Check for prolapsed cord.
3. Do nothing. This is a benign pattern.
4. Prepare for immediate forceps or cesarean delivery.
3
Explanation: 3. Early decelerations are considered benign, and do not require any intervention.
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The daughter of a client with AD who is receiving cholinesterase inhibitor therapy tells the nurse that her father has been getting more and more clumsy lately, saying, "He's almost fallen several times and he often gets out of bed at night
That's when I'm most concerned that he will fall." The daughter reports that his appetite is fair and that he takes his medication as prescribed. When developing the client's plan of care, the nurse would identify which nursing diagnosis as the priority? A) Imbalanced Nutrition: Less Than Body Requirements B) Risk for Injury C) Ineffective Self Health Management D) Deficient Knowledge: drug therapy
You are working on a burn unit. One of your patients is exhibiting signs and symptoms of third spacing, which occurs when fluid moves out of the intravascular space but not into the intracellular space
Based upon this fluid shift, what would you expect the patient to demonstrate? A) Hypertension B) Bradycardia C) Hypervolemia D) Hypovolemia
Which of the following client reactions reflects the greatest positive response to the nurse's use of caring touch in the form of a backrub?
1. The nurse observes the client smiling. 2. The client falls asleep shortly after the backrub. 3. The nurse feels the client's back muscles relaxing. 4. The client tells his wife that, "the nurse is so nice."
The primary target of infection with the human immunodeficiency virus is the:
A) immune system. B) lymphatic system. C) pulmonary system. D) central nervous system.