The nurse is caring for a patient at 35 weeks' gestation who has been critically injured in a shooting. Which statement by the paramedics bringing the woman to the hospital would cause the greatest concern?
1. "Blood pressure 110/68, pulse 90."
2. "Entrance wound present below the umbilicus."
3. "Patient is positioned in a left lateral tilt."
4. "Clear fluid is leaking from the vagina."
2
Rationale 1: These are normal vital signs, indicating a hemodynamically stable client.
Rationale 2: Penetrating abdominal trauma has a 59–80% fetal injury rate. This fetus is at great risk for injury.
Rationale 3: Positioning the client in a lateral tilt position prevents vena cava syndrome.
Rationale 4: Clear fluid from the vagina could be amniotic fluid from spontaneous rupture of the membranes. Although this is not a normal finding at 35 weeks, this fetus is near term, and would likely survive birth at this time.
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The nurse is caring for a client in the neurologic intensive care unit. The nurse is noting from the assessment findings that the client is lacking a connection because motor impulses are interrupted from the brain to the spinal cord
It also appears that the client lacks sensory impulses from the peripheral sensory neurons to the brain. Which area has the deficit? A) Midbrain B) Medulla oblongata C) Pons D) Subarachnoid space
A female patient's most recent urinalysis results are suggestive of bacteriuria. When assessing this patient, the nurse's data analysis should be informed by what principle?
A) Most UTIs in female patients are caused by viruses and do not cause obvious symptoms. B) A diagnosis of bacteriuria requires three consecutive positive results. C) Urine contains varying levels of healthy bacterial flora. D) Urine samples are frequently contaminated by bacteria normally present in the urethral area.
Which nursing management duties would the LPN identify as the primary goal of directing nursing care in the role of the team leader on a nursing unit?
A) To maintain the efficient flow of client care on the nursing unit B) To ensure the personal care for all residents is completed C) To assess vital signs on a client with changing hemodynamic status D) To coordinate physician orders between the physician and nursing staff
The nursing instructor is teaching a pharmacology class to student nurses. The current focus is pharmacology and therapeutics. The nursing instructor determines that learning has occurred when the students make which comments? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Pharmacology is the development of medicines." 2. "Pharmacology is the study of medicines." 3. "Therapeutics relates to drug use to treat suffering." 4. "Therapeutics is the study of drug interactions." 5. "Pharmacology is the study of drugs to prevent disease."