The nurse is caring for a client who is in active labor and has just had an amniotomy. The nurse notes that the fetal heart rate has decreased from 140 bpm immediately prior to the amniotomy to 95 bpm. Upon vaginal examination, the nurse feels a portion of the umbilical cord in the vagina. Which is the nurse's next action in caring for this client?
A. Carefully push the umbilical cord back into the vagina with a sterile gauze.
B. Immediately place the client in reverse Trendelenburg and prepare to move the client to the operating room for a caesarean section.
C. Assist the client to the knee-chest position and notify the healthcare provider.
D. Place oxygen on the client at 2 L/min per nasal cannula and turn the client to the left side.
Answer: C
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A 73-year-old patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?
a. Instruct the patient in activities that can be done while lying or sitting. b. Suggest that the patient rock from side to side to initiate leg movement. c. Have the patient take small steps in a straight line directly in front of the feet. d. Teach the patient to keep the feet in contact with the floor and slide them forward.
The nurse assessing a client's big toe notes hardened nodules on the lateral aspect of the toe, as well as redness, swelling, and pain. Which condition should the nurse suspect?
A. Synovitis. B. Hammertoe. C. Gout. D. Bunion.
As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?
a. "Accepting gifts violates the policies and procedures of the facility." b. "I'm glad you feel so much better now. Thank you for the beautiful necklace." c. "I'm glad I could help you, but I can't accept the gift. My reward is seeing you with a renewed sense of hope." d. "Helping people is what nursing is all about. It's rewarding to me when patients recognize how hard we work."
MC Secondary prevention activities in relation to communicable diseases include reporting. Five categories are generally recognized for reporting of communicable diseases. In what class does the common cold belong?
A. B B. 1 C. E D. D