In reviewing the results of physical examination of a 25-year-old pregnant client, a nurse recognizes which finding as normal?
a. Small, round, oval cervix
b. Pale, symmetrical cervix
c. Smooth, bluish-colored cervix
d. Slit-shaped, pink cervix
ANS: C
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During the initial assessment interview the client becomes anxious and evasive when the nurse asks
her if she has ever heard voices when no one else was around. The client asks, "What do you need to know that for?" The nurse should say a. "Please be honest about this," after repeating the question. b. "Sometimes questions seem highly personal, but we have our reasons for asking each one.". c. "What purpose do you think we might have in asking about whether you hear voices?" d. "I can see this subject makes you uncomfortable. We can discuss it at another time.".
Decentralization occurs when:
a. equipment is being purchased from ap-proved vendors. b. hiring decisions are made at the executive level. c. power is distributed to those closest to the work of caregiving. d. supplies are distributed from one central supply area in the hospital.
Which should the nurse recognize as an example of localized amnesia?
A. A client cannot relate any lifetime memories, including personal identity. B. A client can relate family memories but has no recollection of a particular brother. C. A client cannot remember events surrounding a fatal car accident. D. A client whose home was destroyed by a tornado only remembers waking up in the hospital.
Which nursing intervention is paramount when providing care to a client with preterm labor who has received terbutaline?
a. Assess deep tendon reflexes (DTRs). b. Assess for dyspnea and crackles. c. Assess for bradycardia. d. Assess for hypoglycemia.