Which of the following factors should alert the nurse to the potential for a prolapsed umbilical cord?
a. Oligohydramnios
b. Pregnancy at 38 weeks of gestation
c. Presenting part at a station of –3
d. Meconium-stained amniotic fluid
C
Because the fetal presenting part is positioned high in the pelvis and is not well applied to the cervix, a prolapsed cord could occur if the membranes rupture.
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The nurse helps the family understand that once hospice service is initiated, the focus of care changes from rehabilitation and restoration to that of:
a. maintaining the patient at the optimal level. b. assisting with funeral planning. c. relieving the family of care. d. maintaining comfort as death approaches.
What tool is used as a systematic, proactive method for evaluating a process to identify where and how care delivery might fail?
a. American Nurses Association (ANA) b. UAP c. Failure Mode and Effects Analysis (FMEA) d. Institute for Healthcare Improvement (IHI)
Which term is described as a personal consciousness of the moral importance that guides personal action in a particular situation?
a. Dilemma c. Ethic b. Problem d. Moral integrity
The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, he says, "I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family." What should the nurse do?
a. Assure the patient that everything will be all right and continue what she/he is doing. b. Tell the patient that whatever happens is out of his control, so he shouldn't worry. c. Stop what he/she is doing (if possible) and ask the patient to expand on his statement. d. Contact hospital clergy to come and talk with the patient.