The nurse caring for the woman in labor should understand that maternal hypotension can result in:
a. Early decelerations. c. Uteroplacental insufficiency.
b. Fetal dysrhythmias. d. Spontaneous rupture of membranes.
ANS: C
Low maternal blood pressure reduces placental blood flow during uterine contractions and results in fetal hypoxemia. Maternal hypotension is not associated with early decelerations, fetal dysrhythmias, or spontaneous rupture of membranes.
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A chief nurse officer (CNO) is contacted by the organization's supervisor on a Saturday night regarding a problem in the hospital's emergency department. The supervisor describes an incident in which an orderly was assaulted
Why is the CNO not surprised about this report? 1. This is a typical occurrence in the emergency department. 2. Health care violence is more likely to occur in emergency departments. 3. Health care violence generally occurs on the weekend. 4. Health care violence is likely to occur on the night shift.
A highly suicidal patient who has been hospitalized for 2 weeks committed suicide during the night. The measure that will be helpful to staff and patients having to deal with the event is:
a. asking the patient's roommate not to discuss the event with other patients. b. keeping newspapers off the unit and sending the television "out for repair.". c. holding a staff meeting to express feelings and plan care for other patients. d. discharging the other patients as quickly as possible to prevent copycat attempts.
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Which of the following statements reflect an accurate understanding of the patient's current pain experience by the nurse? 1. The vital signs are normal; the patient is not experiencing pain. 2. The vital signs reflect a sympathetic nervous system response to pain. 3. Further assessment to determine the presence of pain is indicated. 4. Mechanically ventilated patients are not alert enough to experience pain.
A patient, being treated for a deep vein thrombosis, develops heparin-induced thrombocytopenia. Which of the following would be done to help this patient?
1. reduce heparin infusion 2. discontinue heparin infusion 3. administer warfarin as prescribed 4. begin aspirin therapy