A laboring patient in the latent phase is experiencing uncoordinated, irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the
contractions get stronger."
b. "You must breathe more slowly and deeply so there is greater oxygen supply for
your uterus. That will decrease the pain."
c. "Let me take off the monitor belts and help you get into a more comfortable
position."
d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your
back and see if that helps."
D
Feedback
A This statement is belittling the patient's complaints. Support and comfort are
necessary.
B Breathing will not decrease the pain.
C It is important to get her into a more comfortable position, but fetal monitoring
should continue.
D Intervention is needed to manage the dysfunctional pattern. Offering support and
comfort is important to help the patient cope with the situation.
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Standards for long-term care documentation are regulated by:
a. OBRA. b. Title XXII. c. nursing diagnoses. d. the care plan.
Your 24-year-old female patient comes to the clinic for a routine pelvic exam and Pap smear. It is recommended that a female of this age obtain a Pap smear:
A. Every year B. Every 3 years C. Every 5 years D. None of the above
A patient with stable exertional angina has been receiving a beta blocker. Before giving the drug, the nurse notes a resting heart rate of 55 beats per minute. Which is an appropriate nursing ac-tion?
a. Administer the drug as ordered, because this is a desired effect. b. Withhold the dose and notify the provider of the heart rate. c. Request an order for a lower dose of the medication. d. Request an order to change to another an-tianginal medication.
The student nurse in a mental health clinic is taught that the nurse who bridges the gap between mental health and medical-surgical nursing is the:
A) Medical-surgical nurse manager. B) Psychiatric consultation liaison nurse. C) Geri-psychiatric nurse. D) Psychiatric charge nurse.