The nurse is working with a patient in labor. She is happy and cheerful, and states she is "ready to see her baby." What stage or phase of labor is the patient currently experiencing?
A) Transition phase
B) Stage two
C) Latent phase
D) Stage three
Ans: C
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A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant. The client states, "I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis
and taking insulin is so depressing." How should the nurse respond? a. "Following the drug regimen more closely would have prevented this." b. "One acute rejection episode does not mean that you will lose the new organs." c. "Dialysis is a viable treatment option for you and may save your life." d. "Since you are on the national registry, you can receive a second transplantation."
The care of a postoperative hypophysectomy patient, in whom the entire pituitary was removed, would include:
1. strict intake and output. 2. keeping patient flat in bed for the first 24 hours. 3. withholding analgesics to assess level of consciousness better. 4. mouth care with thorough cleansing of the oral cavity.
The physician diagnoses a 3 cm ovarian cyst in a 28-year-old woman. The nurse expects the initial treatment to include
a. Beginning hormone therapy b. Examining the woman after her next menstrual period c. Scheduling a laparoscopy as soon as possible, to remove the cyst d. Aspirating the cyst as soon as possible and sending the fluid to pathology
The nurse is planning care for a grieving patient. Which of the following would not be an appropriate expected outcome?
a. verbalize feelings of grief b. share grief with significant others c. accept the loss d. speak about the deceased only once a week