The labor and birth nurse is admitting a patient. The nurse's assessment includes asking the patient whom she would like to have present for the labor and birth, and what the patient would prefer to wear
The patient's partner asks the nurse the reason for these questions. The nurse's best response would be: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "These questions are asked of all women. It's no big deal."
2. "I'd prefer that your partner ask me all the questions, not you."
3. "A patient's preferences for her birth are important for me to understand."
4. "Many women have beliefs about childbearing that affect these choices."
5. "I'm gathering information that the nurses will use after the birth."
3,4
Rationale 1: Although this information is asked of all patients, it is purposefully gathered.
Rationale 2: It is not therapeutic communication to tell the partner not to ask questions.
Rationale 3: The nurse incorporates the family's expectations into the plan of care to be culturally appropriate and to facilitate the birth.
Rationale 4: The nurse incorporates the family's expectations into the plan of care to be culturally appropriate and to facilitate the birth.
Rationale 5: The information gathered will be used during the labor and birth, not after delivery.
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A. "I do not believe in dating patients." B. "It is against the rules for me to date patients." C. "I'll think about it and let you know." D. "You are very nice but our relationship is a professional one only."
Which are signs and symptoms of approaching death? (Select all that apply.)
a. Mottled extremities b. Significant increase in urine output c. Increased restlessness and pulling at bed linens d. Alteration in rhythmic respiration e. Increased pulse rate
When caring for a client, the nurse notes the client's concentration level and teaches when the client is attentive. What variable that affects learning is the nurse considering?
A) Willingness B) Concentration C) Learning readiness D) Learning needs
At 1000 a nurse receives 2 units of blood for a patient to be transfused. What is the most appropriate nursing action?
a. Set up 1 unit for the infusion to start by 1030 and send the other unit back until the first one has infused b. Set up both units to infuse at the same time and to start at 1100. c. Set up one unit for infusion and place the other in the refrigerator for the later infu-sion. d. Send both units back and ask for a reissue of 1 unit only.