The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that, in addition to all that he's doing now, he could tell her when the contraction(s):
a. Are 2 minutes apart.
b. Is at its acme.
c. Is at its increment.
d. Is at its decrement.
B
When the contraction is most intense, the coach can tell her that this contraction will be over soon to help her remain focused.
Describing the frequency of the contractions is not usually helpful.
The increment occurs as the contraction begins in the fundus and spreads through the uterus. Calling attention to this phase may cause the woman to tense up.
The woman does not need anyone to tell her that the contraction is decreasing in intensity.
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Maria Hernandez, 76 years old, recently sustained a left hip fracture and dislocation while gardening in her yard. She underwent left total hip replacement surgery and is recovering on the orthopedic unit
Maria tells the nurse she is upset and does not feel at peace because she has been unable to attend church as a result of the injury. What is the best response by the nurse? a. Encourage her to read a book, magazine, or newspaper b. Suggest that she watch television to keep her mind distracted c. Offer to call the hospital's chaplain or cler-gyman to come pray with her d. Tell her to sleep so that her body can heal and return to a state of peacefulness
The nurse is planning care for an elderly patient diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function
What outcome would the nurse plan for this patient to measure improvement in cardiac output? a. Brisk capillary refill in feet bilaterally. b. Heart rate within expected range c. Breath sounds clear with no shortness of breath d. Regular pulse rhythm
The patient has just been given medication to reverse neuromuscular blocking agents. The nurse is aware that the patient is in the general anesthetic stage of:
a. induction. b. introduction. c. emergence. d. maintenance.
Which intervention is highest priority for the care plan of a client on lithium therapy?
a. Drink 1 to 2 L of water per day. b. Limit caffeinated beverages. c. Eat three meals daily. d. Suck on ice chips for dry mouth.