The health care provider initially orders bed rest for a patient with an open-book pelvic fracture. Which assessment data obtained by the nurse are most important to report to the health care provider?
a. The bowel tones are absent.
b. There is an unusual amount of pelvic movement.
c. The patient complains of level 4 abdominal pain on a 10-point pain scale.
d. There is bruising of the abdomen.
Ans: a. The bowel tones are absent.
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The perinatal nurse would assess which newborn system as a priority after birth if a woman admitted to cocaine use during her pregnancy?
A. Cardiovascular system B. Endocrine system C. Integumentary system D. Respiratory system
A long and difficult labor results in the birth of a 7 lb, 6 oz girl. The nurse knows that critical components of the assessment of this infant include what? (Select all that apply.)
A) Is the newborn term gestation? B) Is the newborn responsive? C) Is the amniotic fluid clear? D) Does the newborn have pink color? E) Does the newborn have good muscle tone?
The nurse counsels a client to have the enzyme-linked immunosorbent assay (EIA) test in order to
a. Indicate the presence of the antibody to HIV. b. Reveal whether or not the client has AIDS. c. Isolate the HIV virus. d. Confirm HIV after having a positive Western blot.
Practices designed to interrupt the spread of certain highly transmissible diseases are
A. standard precautions. B. transmission-based precautions. C. negative-pressure precautions. D. universal precautions.