Your patient is a 41-year-old diabetic primigravida. You have just performed a vaginal exam: 6/90/-1. The fetus has been having late decels with absent to minimal variability and no accels for one hour, despite interventions to improve the tracing. The provider arrives on the unit and states that she will remain on the floor, and writes orders to start oxytocin. You inform the physician that you are not comfortable starting oxytocin based on maternal history, SVE, and FHR tracing. The provider insists that you should start oxytocin. What is your response?
A. Tell the physician that if she will remain on the unit, you will start the oxytocin.
B. Tell the physician that she can start the oxytocin herself.
C. Tell the physician that you decline to start the oxytocin, and notify the physician that you are activating your chain of command.
Answer: C. Tell the physician that you decline to start the oxytocin, and notify the physician that you are activating your chain of command.
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The home care nurse is assessing management of the patient's gastrostomy. Which of the following statements indicates that the patient is managing the tube correctly?
A) " I clean my stoma twice a day with alcohol." B) " I am placing sterile dressings on my stoma site." C) "I am flushing my tube with 30 mL of water after my feeds." D) "I have been giving my medications all at the same time to avoid hassle."
The nurse is helping to set up Buck's traction on an orthopedic patient. How often should the nurse assess circulation to the affected leg?
A) Within 30 minutes, then every 1 to 2 hours B) Within 30 minutes, then every 4 hours C) Within 30 minutes, then every 8 hours D) Within 30 minutes, then every shift
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the emergency department (ED). Which patient will the nurse need to assess first?
a. A patient with a red tag b. A patient with a blue tag c. A patient with a black tag d. A patient with a yellow tag