MC You need to discontinue digital stimulation if the client complains of which one of the following symptoms indicative of autonomic hyperreflexia?
A. Hypotension
B. Chills
C. Nausea
D. Goose pimples
D
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Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?
a. Notify the clinician stat. b. Test for the blood glucose level. c. Start an intravenous line with D5W. d. Document the event in the nurses' notes.
The nurse is reviewing with a client that when an infection occurs that it usually follows a progressive course. What is the correct sequence of the phases of an infection?
1 . Convalescence stage 2 . Full stage of illness 3 . Incubation period 4 . Prodromal stage A) 1, 2, 3, 4 B) 2, 4, 1, 3 C) 3, 4, 2, 1 D) 4, 1, 3, 2
A patient in good health and without any major health needs says, "I want to try some nutritional supplements I read about on the Internet." What information would be appropriate for the nurse to include in a response? Select all that apply
a. "Most healthy people who eat a balanced diet do not need nutritional supplements." b. "Research has not supported claims that various nutritional supplements create significant benefits in healthy people." c. "Some nutritional supplements are proven to significantly delay aging and reduce the incidence of age-related diseases like cancer." d. "I am glad you are actively engaged in managing your health by trusting information from the Internet." e. "Researchers are still studying the benefits and side effects of many supplements. We should know more in the years to come."
Approximately 8 hours ago, Juanita, a 32-year-old G1 P0, gave birth after 2 ½ hours of pushing
She required an episiotomy and an assisted birth (forceps) due to the weight and size of her baby (9 lb. 9 oz.). The perinatal nurse is performing an assessment of Juanita's perineal area. A slight bulge is palpated and the presence of ecchymoses to the right of the episiotomy is noted. The area feels "full" and is approximately 4 cm in diameter. Juanita describes this area as "very tender." The most likely cause of these signs and symptoms is: a. Hematoma formation b. Sepsis in the episiotomy site c. Inadequate repair of the episiotomy d. Postpartum hemorrhage