A client at 30 weeks' gestation is experiencing painless late vaginal bleeding. What should the nurse expect in the management of this client?
1. Assessing blood pressure every 2 hours
2. Evaluating the fetal heart rate with an internal monitor
3. Limiting vaginal examinations to only one per 24-hour period
4. Monitoring for blood loss, pain, and uterine contractibility
4
Explanation:
1. Blood pressure measurements every 2 hours are unnecessary. They can be done on a routine basis or prn.
2. Fetal heart rate monitoring will be done with an external fetal monitor. The placenta is covering the cervical os, and therefore the fetal scalp cannot be accessed to apply an internal monitor.
3. Vaginal examinations are contraindicated because the examination can stimulate bleeding.
4. Blood loss, pain, and uterine contractibility need to be assessed for client comfort and safety.
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After inserting prostaglandin gel for cervical ripening, what should the nurse do?
1. Apply an internal fetal monitor. 2. Insert an indwelling catheter. 3. Withhold oral intake and start intravenous fluids. 4. Place the client in a supine position with a right hip wedge.
A patient who is prescribed gabapentin (Neurontin) for seizures is also taking aluminum hydroxide (Amphojel) for indigestion. What does the nurse caution the patient about taking these two drugs?
a. "Take the gabapentin one hour after the aluminum hydroxide." b. "Schedule at least 2 hours between taking the gabapentin and the aluminum hy-droxide." c. "Take these two drugs together for the best action of both drugs to occur." d. "You may need to take a different antacid to avoid affecting the action of gaba-pentin."
When creating a spreadsheet that involves formulas, the user understands that the computer follows a specific order of operations. Place the operations listed below in the order that they would occur from first to last
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