A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed with placenta previa. Which of the following physician orders should the nurse question?

a. Type and cross-match her blood.
b. Insert an internal fetal monitor electrode.
c. Administer an oral stool softener.
d. Assess her complete blood count.


ANS: b
Feedback
a. It would be appropriate to type and cross-match the patient for a blood transfusion.
b. This action is inappropriate. When a patient has a placenta previa, nothing should be inserted into the vagina.
c. To prevent constipation, it is appropriate for a patient to take a stool softener.
d. It is appropriate to monitor the patient for signs of anemia.

Nursing

You might also like to view...

A patient taking a monoamine oxidase inhibitor reports that he forgot he wasn't supposed to take over-the-counter drugs without prior approval and took some medication for his cold 6 hours ago

His wife, a nurse's aide, checked and reports that his blood pressure is 128/84, slightly above his usual blood pressure. He has not noticed any other changes or symptoms. Which of the following responses by the nurse would be most appropriate? Select all that apply. a. "A single dose of the cold medicine will probably be OK, so you can relax.". b. "To be safe, have someone drive you to the emergency room to be checked.". c. "If you develop a headache, fever, stiff neck, nausea, or vomiting, go to the ER.". d. "Check your blood pressure each hour, and go to the ER if it goes over 140/100.". e. "Drink more fluid to reduce the medication concentration and you should be OK.". f. "If you hear ringing in your ears or have trouble staying awake, call 911 for help.".

Nursing

The nurse working at a long-term care facility notes that one patient who is usually outgoing refuses to participate in games that require keeping score. What action by the nurse is best?

a. Ask the patient why he or she won't participate. b. Assess the patient's level of frustration with these activities. c. Find other activities for the patient to participate in. d. Do nothing; the patient can choose activities to engage in.

Nursing

The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which of the following would be the best approach to take with this patient?

1. encourage the patient to ingest as much food as possible during each meal 2. plan to have the patient ingest the established goal of calories within 2 days 3. limit the patient's intake of fluids so to encourage a normal appetite 4. increase calories daily at the rate of 20 kcal/kg of the patient's body weight

Nursing

Rhabdomyolysis is considered to be a serious side effect of statin medications because:

A. immunoglobulin molecules can disrupt blood flow and cause an aneurism. B. myoglobin molecules can disrupt blood flow to kidneys and cause renal failure. C. myoglobin molecules can disrupt blood flow and cause myocardial infarction. D. immunoglobulin molecules can disrupt blood flow and cause renal failure.

Nursing