The labor and delivery nurse is caring for a client whose labor is being induced due to fetal death in utero at 35 weeks' gestation. In planning intrapartum care for this client, which nursing diagnosis is most likely to be used?
A. Powerlessness
B. Ineffective elimination
C. Effective family coping
D. Energy field disturbance
A
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After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered
Which statement should be documented in the client's medical record? 1. IV heparin restarted. Physician notified. Client's vital signs unchanged. 2. IV heparin restarted at a rate to catch up dosage accidentally deleted. 3. IV heparin turned off by previous shift. Restarted. 4. IV heparin restarted and incident report completed.
Which infant should be seen immediately by a health care provider?
a. A 1-week-old infant with a diaper rash b. A 1-month-old infant with an axillary temperature of 99.8° F (37.7° C) c. A 3-week-old breast-fed infant who has had two loose stools d. A 2-week-old infant with nasal congestion and respirations of 64 breaths/min
The nurse is performing the initial assessment on a client admitted to the psychiatric unit. The client hears voices saying to cut the client's arms with razor blades until they bleed
What should the nurse assess this client for based on these initial findings? Standard Text: Select all that apply. 1. Family history of first-degree relative with schizophrenia 2. Use of illegal substances 3. Recent episodes of anxiety 4. Family history of heart disease 5. History of a dysfunctional family
The nurse is caring for a 7-year-old girl who is scheduled for a hernia repair and is very scared. Which fear would she also most likely have at this age?
A) Fear of being kidnapped B) Fear of cutting her finger C) Fear of sudden loud noises D) Fear of the neighbor's dog