The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. What immediate action should the nurse take?
a. Monitor intensity of contractions
b. Place the patient in the knee-chest position
c. Notify the charge nurse
d. Ask the patient to perform a Valsalva maneuver
ANS: B
The knee-chest position reduces the pressure on the prolapsed cord. The charge nurse will need to be notified, and the contractions will need to be monitored. However, the priority is reducing the pressure on the prolapsed cord.
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All of the following statements about tremor are true except
A. The most common tremor is the Parkinson tremor B. Most individuals with tremor do not seek medical attention C. Psychogenic tremor is uncommon D. Tremor is more prevalent in whites than blacks
Water temperature for a tub bath is usually:
a. 110° F to 115° F. b. 110° F to 120° F. c. 105° F. d. 105° F to 109° F.
The client with recurrent constipation has been prescribed psyllium (Metamucil). Teaching provided by the nurse should include which of the following instructions?
1. Mix the psyllium powder with any cold beverage. 2. Mix the psyllium powder with 4 oz of a hot beverage. 3. Mix the psyllium powder with gelatin, applesauce, or pudding. 4. Mix the psyllium powder with 8 oz of water or juice followed by drinking an additional 8 oz of liquid.
A nurse is educating a patient about the difference between mental health and mental illness. Which statement by the patient reflects an accurate understanding of mental health?
A. Mental health is the absence of any stressors. B. Mental health is successful adaptation to stressors in the internal and external environment. C. Mental health is incongruence between thoughts, feelings, and behavior D. Mental health is a diagnostic category in the DSM-5.