The patient's membranes have just ruptured. What is the first priority of the nurse?
a. Turn the patient on the left side
b. Perform a Nitrazine test
c. Check the fetal heart rate (FHR)
d. Perform a vaginal examination
ANS: C
The FHR should be assessed immediately after rupture of the membranes to determine the well-being of the baby.
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A nurse is counseling a couple whose child has been diagnosed with cystic fibrosis. They understand that this is an inherited disease, but don't know how the child got it, as neither of them is affected. What response by the nurse is best?
A. "Are you certain that you (points to man) are the biological father?" B. "Maybe each of you has a mild case that hasn't been diagnosed yet." C. "Something in your environment must have altered one of the genes." D. "This is a recessive disorder, meaning that each of you is just a carrier."
The patient has experienced a mediastinal shift to the left. Several structures or functions will be compromised by this condition. What is the most significant effect?
A) Right lung will be compressed. B) Cardiac output will be diminished. C) Point of maximal impulse will be displaced. D) Jugular venous distention will occur.
When the nurse performs a Hemoccult test on a stool specimen, blood in the stool will change the color on the test paper to:
A) blue. B) brown. C) green. D) red.
An important responsibility of the nurse in a mental health facility is to ensure that clients do not __________ from the facility without a discharge order, by carefully supervising and accurately documenting client behaviors and therapeutic actions
. a. Escape b. Abandon c. Flee d. Elope