The nurse working in an obstetrician's office receives a call from a client who is 36 weeks pregnant saying she just had a sudden gush of fluid and thinks her water broke. The nurse's best response is:
1. "Rest, avoid sexual intercourse, and wait for contractions to begin."
2. "Go to the Labor and Delivery unit."
3. To ask the client if she feels the baby moving.
4. "Wait by the telephone, and I will call you back in two hours to check on you."
3
Rationale: Rupture of membranes indicates that the protective barrier around the fetus no longer exists, and labor is imminent. However, there is risk that when the membranes rupture, the cord might prolapse into the vagina, causing a reduction in blood supply to the fetus, so the nurse questions the fetal activity as an indicator of fetal well-being. The physician should be notified immediately, and the client should have someone drive her to the Labor and Delivery unit for further evaluation. The risk for infection increases if she does not deliver within 24 hours.
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The brother of a client with schizophrenia says to the nurse: "I would like to help my brother, but he just doesn't seem to understand he has a serious psychological problem. He tells me he is fine and that he just gets a little weird occasionally."
The nurse should explain: 1. "This is why it is so difficult to treat, since lack of insight is a large part of the disease." 2. "Because of the stigma attached to mental illness, most people with schizophrenia won't tell others they have the disease." 3. "Many people with schizophrenia use denial as a coping mechanism." 4. "He needs to take his medications when having psychotic episodes."
The nurse is caring for an infant with candidal diaper rash. Which of the following topical medications would the nurse expect to administer as ordered?
A) Corticosteroids B) Antifungals C) Antibiotics D) Retinoids
What is the best definition of assault as a tort?
a. Application of force to another person without lawful justification b. Threats to do bodily harm to the person of another person c. A legal wrong committed by one person against the property of another d. A legal wrong committed against the pub-lic and punishable by law
The nurse is providing care to a patient who has experienced several episodes of angina. What is the primary desired outcome for this patient?
1. The patient will experience relief of chest pain with anticoagulant therapy. 2. The patient will experience relief of chest pain with nitrate therapy. 3. The patient will experience relief of chest pain with aspirin therapy. 4. The patient will experience relief of chest pain with therapeutic lifestyle changes.