During the fourth stage of labor, the nurse's first priority when planning nursing interventions is to
a. initiate breastfeeding c. observe for urinary retention
b. observe for signs of infection d. monitor for hemodynamic changes
D
Postpartal hemorrhage and latent hemodynamic effects of anesthesia are the priorities of the nurse during the fourth stage of labor. Observing for urinary retention, signs of infection, or initiating breastfeeding are not high priority at this time.
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A student asks the nurse what is the best way to assess a client's pain. Which response by the nurse is best?
a. Numeric pain scale b. Behavioral assessment c. Objective observation d. Client's self-report
The nurse notes that clients react to pain differently following similar procedures, and concludes which of the following?
1. Some clients like the effect of analgesics, and request more frequent administration. 2. Clients from different cultures react differently to pain. 3. Clients with higher incomes expect a greater degree of pain relief. 4. Male clients don't admit to pain because they want to appear strong and in control.
A nurse manager on the high-risk OB unit wants to improve the experience of women admitted for lengthy stays. What action by the manager is best?
A. Designate a specific chaplain to visit women every day. B. Develop a program to help women attain developmental tasks. C. Initiate primary nursing to provide consistency in caregiving. D. Provide open visitation and special events for siblings.
A nurse has just completed training on the Health Insurance Portability and Accountability Act (HIPAA). Which statement made by the nurse indicates that training has been successful?
1. "Faxing of information is prohibited by HIPAA." 2. "I need to verbally provide the patient with the privacy notice." 3. "I cannot discuss a patient's health history with family members without the patient's permission." 4. "Financial information relating to payment for services is not subject to the HIPAA regulations."