Emergency conditions during labor that require immediate nursing intervention can arise with startling speed. Examples of such emergencies include which of the following? (Choose all that apply.)
1. Nonreassuring FHR pattern
2. Inadequate uterine relaxation
3. Vaginal bleeding
4. Infection
5. Prolapse of cord
1, 2, 3, 4, 5.
1, 2, 3, 4, 5. Correct. All of the conditions listed would be emergencies during labor that would require immediate nursing intervention.
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An appropriate intervention to undertake for a client with bulimia nervosa who binges and purges is
to teach the client a. not to skip meals or restrict food. b. to eat a small meal after purging. c. eat a large breakfast but no lunch and concentrate intake after 4 PM. d. substitute laxative use once daily to replace induced vomiting.
A patient comes to the clinic to be seen for a burn that appears moist with blisters. The nurse realizes that this patient most likely has sustained which type of burn?
1. superficial 2. superficial partial-thickness 3. deep partial-thickness 4. full thickness
The nurse is examining the client's mouth and discovers leukoplakia. In questioning the nurse the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:
1. An order to provide thorough mouth care. 2. A biopsy will be performed. 3. An antifungal medication order. 4. A dental consult.
The nurse asked the family about its financial resources and the demands on these resources. This is an example of
1. Biological risks 2. Economic risks 3. Lifestyle risks 4. Social risks