A physician is performing an amniotomy. What action should the nurse take first?
a. Assess the fetal heart rate pattern.
b. Change the bed linens and administer perineal care.
c. Inspect the characteristics of the fluid.
d. Assess maternal temperature along with pulse, respirations, and blood pressure.
A
The abrupt change in pressure when the membranes rupture can cause the fetus distress, so the nurse should first check the FHR.
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The nurse knows that barriers to the adolescent's health and successful achievement of the tasks of adolescence exist. Which of the following is the major barrier to health for this population?
A) Cultural B) Socioeconomic C) Marital status D) Racial
A nurse will be using an interpreter during a client encounter. What considerations should be made by the nurse? Select all that apply
a. It is appropriate to use family members as interpreters. b. Written materials should be available in the client's primary language. c. Observe the interpreter's gestures to assure client understanding. d. The gender, age, and educational level of the interpreter should be evaluated.
Which of the following is a potential problem with the background and literature review?
A) using articles from refereed journals B) using articles that are more than 5 years old C) using mostly primary sources D) including adequate referencing for material used
A nurse is caring for a client in a healthcare facility. The nurse has to document
information to maintain the health record of the client. Which description is required consistently for each charting entry? A) Report each observation to the physician. B) Sign the record with first initial, last name, and classification. C) Obtain a signature from the physician. D) Provide the day of the week on the entry.