The primary cause of vulnerability is
a. Race
b. Age
c. Poverty
d. Illness
ANS: C
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When caring for a patient with multiple traumatic injuries, which of the following should the nurse do after adequately managing the patient's airway, breathing, and circulation?
1. listen to heart sounds 2. administer prophylactic tetanus toxoid 3. assess level of consciousness 4. transfer the patient to a high-acuity unit
The primiparous patient has stated that she wants to avoid an epidural and would like an unmedicated birth. Which nursing action is most important for this patient?
1. Encourage the patient to vocalize during contractions. 2. Perform vaginal exams only between contractions. 3. Provide a CD of soft music with sounds of nature. 4. Offer to teach the partner how to massage tense muscles.
The primiparous patient at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head down position."
When the nurse cleanses the client's leg during a bed bath, it will allow for:
A) assessment of pain. B) increased circulation. C) decreased restless leg syndrome. D) promotion of social interaction.