During a home visit, a nurse assesses a 3-day postpartum patient who complains of constipation. What should the nurse do first?
1. Evaluate the patient’s diet.
2. Encourage a sitz bath.
3. Assess for hemorrhoids.
4. Administer an enema.
1. Evaluate the patient’s diet.
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Nursing interventions for non-reassuring fetal heart rate patterns would include which of the following? (Select all that apply.)
a. Change the maternal position from one side to the other side b. Oxygen therapy by non-rebreather face mask at 8 to 10 L/min. c. Anticipate administration of a tocolytic such as terbutaline (Brethine) d. Decrease the rate of the main intravenous (IV) fluid line e. Increase the rate of the main intravenous (IV) fluid line (usually lactated Ringer's solution) f. Notify the primary care provider of the time of occurrence, duration, severity, and frequency of decelerations and of nursing interventions given
A client is postoperative day one and has a patient-controlled analgesia (PCA) pump with a continuous basal dose for pain control. Currently, the client is stating that the operative pain is escalating. What is the first action of the nurse?
a. Try diversion to take the client's mind off the pain. b. Ask the client to ambulate around the unit. c. Assess the client's pain according to PQRST. d. Call the physician to request an order to increase the basal dose.
The nurse completes preparation of the sterile field to change a patient's dressing when the patient's dinner tray arrives. Which action should the nurse take?
a. Use the sterile field on another patient in another room. b. Change the dressing using clean technique to save time. c. Set the tray aside and proceed with the dressing change. d. Cover the setup with a sterile drape and let the patient eat.
When should a nurse expect to complete short-term personal goals?
a. 6 to 24 months b. 3 to 4 years c. 5 to 10 years d. 10 to 20 years