In measuring fundal height, the nurse documents which finding as abnormal?
a. 29 cm at week 30
b. 28 cm at week 26
c. 34 cm at week 38
d. 26 cm at week 24
ANS: C
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The nurse is planning a presentation on crisis intervention to faculty and staff at a local high school. What information will the nurse want to include? Select all that apply
1. How to identify colleagues who are approaching exhaustion 2. How to conduct a psychological debriefing 3. How to reinforce basic coping skills with students 4. How to recognize common cultural responses to crisis 5. How to encourage social connectivity among other faculty and staff
Which statements by an emergency department nurse reflect poor compliance with the "A" portion of the diversity practice model? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "If patients are going to live in the U.S., they should at least attempt to learn English.". 2. "Her clothes are dirty, so I bet she doesn't have any insurance.". 3. "This patient is weird. He has all kinds of marks on his skin and says they will make him feel better.". 4. "You know how it is with these young mothers; they never follow instructions on how to prevent their kids from getting ear infections.". 5. "Oh no, another old man with influenza. You take care of him. They all stink.".
At a home visit for a client who had cataract surgery 3 days ago, a nurse observes creamy, white, dry, crusty drainage on the client's operative eyelid and lashes. What is the nurse's best action?
A. Obtain a specimen of the drainage for culture. B. Cleanse away the drainage and apply the prescribed drops. C. Contact the physician for an antibiotic order. D. Arrange for the client to be seen by the ophthalmologist today.
Client in pain may show anger toward the home health aide. This is an example of
a. fantasy b. displacement c. rationalization d. displacement