A nurse notes the presence of variable decelerations on the fetal heart rate monitor strip and suspects cord compression. Which action should the nurse take immediately?
A. Notify the nurse-midwife or health care provider
B. Perform a vaginal examination on the mother
C. Position the mother so that her hips are elevated
D. Insert a gloved finger into the mother's vagina to feel for cord compression
Ans: C. Position the mother so that her hips are elevated
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A client has pharyngitis. Which symptom helps the nurse determine whether the infection is bacterial versus viral?
a. Redness in the back of the throat b. Enlarged lymph glands in the neck c. Nasal discharge d. Skin rash
The nurse is administering packed red blood cells to a child with sickle cell disease. The nurse knows that a transfusion reaction will most likely occur:
1. Six hours after the transfusion is given. 2. Within the first 20 minutes of administration of the transfusion. 3. At the end of the administration of the transfusion. 4. Never; children with sickle cell disease do not have reactions.
Which information should the nurse include in the teaching for the client prescribed long-term corticosteroid therapy?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Avoid carbonated beverages. B. Participate in regular weight-bearing exercises. C. Avoid taking calcium supplements. D. Take your prescription with food or milk. E. Avoid caffeine in the diet.
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What initial medication should the nurse anticipate administering to the client?
A) Xylocaine (Lidocaine). B) Procainamide (Pronestyl). C) Phenytoin (Dilantin). D) Digoxin (Lanoxin).