A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. What complication should the nurse closely assess for with this patient?
a. Chorioamnionitis
b. Hemorrhage
c. Hypotension
d. Amniotic fluid embolism
ANS: A
Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured membranes, or it may be a consequence of rupture because the barrier to the uterine cavity is broken.
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The nursing staff cared for a patient who was aggressive and violent toward one of the nurses. What is the nurse manager's best immediate response?
1. Schedule a debriefing for all staff involved. 2. Schedule a staff meeting for all staff involved. 3. Schedule an educational session for all staff involved. 4. Schedule a medical record review with all staff involved.
Which of the following typically occurs between 5 and 7 months of age?
a. closure of the posterior fontanel b. development of the frontal sinus c. eruption of the first lower central incisors d. salivation and production of tears
The nurse is discussing pain control with an older patient who has been prescribed an opiate. When the patient expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds
a. "It appears that the dosage you take needs to be adjusted upward." b. "We need to be concerned about you de-veloping a drug tolerance." c. "This drug category is well known for its low ceiling effect." d. "Opiate addiction is a concern when to-lerance occurs."
Which statement regarding nursing diagnoses is accurate?
a. Nursing diagnoses remain the same for as long as the disease is present. b. Nursing diagnoses are written to identify disease states. c. Nursing diagnoses describe patient problems that nurses treat. d. Nursing diagnoses identify causes related to illness.