Which pregnant patient in labor should the nurse most likely prepare for an episiotomy?
A) A multigravida with a history of cesarean birth with classical uterine incision; fetus is distressed
B) A primigravida who reports faithfully having done Kegel exercises during pregnancy; fetus is in vertex presentation
C) A multigravida with a history of heart problems; fetus is in occiput posterior position
D) A multigravida who reports faithfully having done Kegel exercises during pregnancy; fetus initially presents with occiput posterior position but rotates readily
Ans: C
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A nurse is caring for a client with an amputated limb. The client tells the nurse that he has a burning sensation in his amputated limb. How should the nurse document this pain?
A) Referred pain B) Phantom pain C) Visceral pain D) Cutaneous pain
The chief nursing officer listens to nurse managers verbalize their feelings of internal stress. One common source of internal stress seems to be:
a. The death of a loved one. b. Perfectionism. c. Getting married. d. Losing a job.
The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take?
a. Administer the vaccine as ordered. b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure. c. Hold the vaccine and notify the provider of the patient's history. d. Request an order for a Varivax booster instead of the Zostavax.
Following a hurricane, the disaster team chooses to use a collaborative model to assess the needs of the community. Each team member is given a community analysis and assigned the task to create a tentative plan of action
Why would the use of a collaborative model hamper the progress of the assessment and plan in a disaster? (Select all that apply.) A) Individual decision-making creates bias. B) Assessment is time-consuming. C) Approach to problem solving is linear. D) Approaches must be preestablished. E) Collaboration is limited.