A pregnant woman calls her provider's office to report that she thinks she is in labor. The patient reports contractions have been at these times: 12:05, 12:10, 12:15, and 12:20. What does this information indicate to the nurse?
A) Nothing useful about the client's contractions
B) The duration of the contractions is every five minutes
C) The frequency of the contractions is every five minutes
D) The contractions are increasing in duration and frequency
Ans: C
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A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What response should the nurse make to the mother?
A) "The infant should not become constipated.". B) "The infant should sleep at least 3 hours between feedings.". C) "You need to weigh the infant before and after each feeding.". D) "The infant should gain weight and have six wet diapers daily.".
The client for whom skeletal traction is planned asks for an explanation regarding the purpose of this type of traction. What is the nurse's best response?
A. "This type of traction will aid in realigning the bone." B. "This type of traction will prevent you from having low back pain." C. "This type of traction will decrease muscle spasms that occur with a fracture." D. "This type of traction will prevent injury to the skin as a result of the fracture."
The nurse notes edema in the hands and legs of an elderly hospitalized client who appears undernourished. One of the things the nurse considers is that:
1. The client has been drinking large amounts of water to prevent feelings of hunger. 2. Thyroid hormones are out of balance. 3. The kidneys are failing, causing fluid retention. 4. Lack of adequate protein is causing a fluid shift.
A primary care nurse practitioner (NP) sees a patient who is concerned about constipation. The NP learns that the patient has three to four bowel movements per week with occasional hard stools but no straining with defecation
The NP should recommend: a. increased intake of fluids and fiber. b. docusate sodium (Colace) as needed. c. psyllium (Metamucil) on a daily basis. d. polyethylene glycol (MiraLAX) as needed.