The nurse notes a pattern of decelerations on the fetal monitor that begins shortly after the contraction and returns to baseline just before the contraction is over. The correct nursing response is to:
a. Give the woman oxygen by facemask at 8-10 L/min
b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal pattern
Ans: d. Continue to observe and record the normal pattern
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A child returns from surgery in which a stoma was created in the abdominal wall to the bladder. The nurse identifies this as which of the following?
A) Vesicostomy B) Ureteral stent C) Continent urinary diversion D) Bladder augmentation
The nurse is caring for a client who is experiencing a systemic infection after a total knee replacement. Which diagnostic tests will be used to validate the presence of this infection?
Select all that apply. A) Serum electrolyte levels B) Urinalysis C) White blood cell differential D) White blood cell count E) Wound culture
Which of the following policies in the long-term care facility will promote effective sleep for clients?
A) After they have eaten the evening meal, clients should be assisted to bed to allow ample time for sleep. B) Nursing staff should avoid waking clients from deep sleep to provide routine care. C) Discourage individual client's nighttime rituals because this will limit time for sleep. D) Noisy clients who disrupt the quiet of the overall sleeping environment should be coaxed or sedated into quiet sleep.
The nurse reviews a patient's glycosylated hemoglobin (Hb A1C) results to evaluate
a. fasting preprandial glucose levels. b. glucose levels 2 hours after a meal. c. glucose control over the past 90 days. d. hypoglycemic episodes in the past 3 months.