Which statement by a client in labor should be reported to the health care provider?
a. "I have had a lot of heartburn during this pregnancy."
b. "We just ate dinner and my contractions started."
c. "I was treated for bacterial vaginosis during this pregnancy."
d. "My blood pressure usually runs on the low side."
B
Consuming a full meal like dinner just prior to labor may increase the client's risk of vomiting and possible aspiration, as the uterus rises up against the stomach during contractions. Heartburn is a normal discomfort of pregnancy and is not cause for alarm. The health care provider should be aware that the client was treated for bacterial vaginosis, but it is not the priority at this time. While the fact that the client's blood pressure usually runs on the low side is important, it is not the priority at this time.
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A 4-month old baby was recently hospitalized with septicemia and now has a severe diaper rash. Which primary immunodeficiency disorder does the nurse suspect?
A. Antibody deficiency: B-cell disorder B. Combined deficiency: T- and B-cell disorder C. Complement defect disorder D. Phagocyte defect disorder
The administrator of a large, physician practice is planning to assist with accessing data for the current patient population. What should the administrator expect if the interoperability of the network is classified as being a pilot?
A) Has no or low adoption B) Has not been broadly tested C) Some entities are using the network in a testing or production environment D) Requires additional specification by the standards-development community
Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?
a. Take a daily multivitamin with iron. b. Limit fluids to 2 to 3 quarts per day. c. Avoid exposure to crowds when possible. d. Drink only two caffeinated beverages daily.
In what way did the 1996 Health Insurance Portability and Accountability Act (HIPAA) affect nursing practice? (Select all that apply.)
a. It established a procedure for the client to choose with whom he or she wants information shared. b. It assisted health care providers in helping clients submit claims for insurance reimbursement. c. It required all health agencies to tell clients exactly with whom their personal information will be shared. d. It allowed health agencies to help clients establish insurance eligibility. e. It required all health agencies to ensure that only persons immediately involved in the client's care have access to the client's health records. f. It required all health care providers to protect client confidentiality by not writing any personal information in their medical record.