Twelve hours following the delivery of a baby, the mother is assessed by the nurse. As the nurse palpates the level of the fundus of the uterus, it should be:
a. firm and 2 cm below the umbilicus.
b. firm and at the umbilicus.
c. slightly boggy and 1 cm below the umbilicus.
d. halfway between the umbilicus and the symphysis pubis.
B
Within 12 hours, the fundus contracts to the level of the umbilicus.
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Which other term can the nurse use to describe the Omnibus Budget Reconciliation Act of 1987?
a. Medicaid Act b. Nursing Home Reform Act c. Diagnostic Related Group Act d. Magnet Recognition Act
An older patient has sensitivity to light. What should the nurse teach the patient to help with this problem?
1. Dim the lights on sunny days. 2. Place dark patterned rugs on stairs. 3. Use supplementary lamps near work. 4. Remove lampshades to provide more light.
A patient who is a Jehovah's Witness refuses life-saving blood or blood products and will probably die without them. What nursing intervention is the best?
a. Try to argue with the patient about his beliefs. b. Separate the patient from family, visitors, or religious leaders who support the patient's beliefs. c. Lecture the patient about the fact that these beliefs may be harmful to self and may result in death. d. Show respect for the patient's right to his own belief system. Notify the nursing supervisor and possibly obtain an ethics committee consultation.
A nurse is assessing a renal transplant recipient for maintenance of prescribed drug therapy. Which statement by the client indicates a need for more teaching?
A. "I will need to continue to take insulin for my diabetes." B. "I will have to take the immunosuppressants for the rest of my life." C. "I will take the antibiotics three times daily until the medication is finished." D. "My new kidney is working fine; I do not need to take medications any longer."