When preparing a woman who is 34 weeks' pregnant for an amniocentesis, the nurse should
a. be sure that the client's bladder is full to elevate the uterus
b. evaluate fetal heart tones and maternal vital signs
c. keep the client in a supine position
d. check that the client has had nothing to eat or drink
B
Because of potential bleeding for the mother and injury to the fetus, the maternal vital signs and fetal heart rate should be monitored during the procedure. Being sure that the client's bladder is full is related to an abdominal ultrasound and with early pregnancy amniocentesis.
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A student nurse is learning about the health care needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients. Which terms are correctly defined? (Select all that apply.)
a. Gender dysphoria - Distress caused by incongruence between natal sex and gender identity b. Gender queer - A label used when gender identity does not conform to male or female c. Natal sex - The sex one is born with or is assigned to at birth d. Transgender - A person who dresses in the clothing of the opposite sex e. Transition - The time between questioning and establishing a sexual identity
Which of the following tools would a rehabilitation nurse be expected to use in assessing the level of independence of a recent spinal cord injured adult patient?
A) Wee-FIM instrument B) Functional independence measure (FIM) C) Braden scale D) Rule of the nines
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging
Which of Erikson's developmental stages has the patient achieved? a. Acceptance b. Withdrawal c. Ego integrity d. Interaction
A 72-year-old woman with a diagnosis of angina pectoris has presented to her nurse practitioner because her chest pain on exertion has become more frequent and longer lasting in recent days
The nurse should understand that this woman's chest pain is directly attributable to which of the following pathophysiological processes? A) Inflammation and physical irritation of the lumens of coronary arteries B) Accumulation of cellular debris in the myocardium after the rupture of atheromas C) Ischemia of cardiac muscle cells D) Accumulation of lactic acid in cardiac muscle