The nurse working in an obstetrician's office receives a call from a 32 weeks-pregnant woman saying she hasn't felt the baby move all day
The nurse advises her to lie on her side and record every fetal movement during a 30-minute period, and says the mother should count how many movements during this time period? A) 5 B) 10 C) 3 D) 1
C
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The nurse enters a client's room and observes the manifestations shown below. What action should the nurse take first?
a. Prepare to administer diphenhydramine (Benadryl). b. Prepare to administer epinephrine. c. Assess the client's respiratory status. d. Get a full set of vital signs.
A patient on triazolam (Halcion) begins to complain of forgetfulness. The nurse should consider the possibility that which of the following effects may be occurring?
a. Retrograde amnesia b. Toxicity c. The expected effect d. Anterograde amnesia
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) antidepressant. After taking the new medication, the patient states, "This medication isn't working. I don't feel any different." What is the best response by the nurse?
a. "I will call your care provider. Perhaps you need a different medication." b. "Don't worry. You can try taking it at a different time of day to help it work better." c. "It usually takes a few weeks for you to notice improvement from this medication." d. "Your life is much better now. You will feel better soon."
The nurse must frequently assess a client experiencing pain. When assessing the intensity of the pain, the nurse should:
A. Ask about what precipitates the pain B. Question the client about the location of the pain C. Offer the client a pain scale to objectify the information D. Use open-ended questions to find out about the sensation