The perinatal nurse knows that an appropriate nursing assessment to rule out hypersensitivity in relation to Dinoprostone (Cervidil) insertion includes:
A) Intake and output
B) Blood pressure
C) Maternal pulse
D) Breath sounds
D
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A registered nurse (RN) delegates client care to an experienced licensed practical nurse (LPN). Which standards should guide the RN when delegating aspects of IV therapy to the LPN? (Select all that apply.)
a. State Nurse Practice Act b. The facility's Policies and Procedures manual c. The LPN's level of education and experience d. The Joint Commission's goals and criterion e. Client needs and prescribed orders
A staff nurse asks the nurse manager, "What assignment are you delegating to me today? I would like to begin to organize my day before shift report begins." What is the error inherent in this statement?
1. There is no way for the nurse to know how to organize until the assignment is clear. 2. The nurse manager would not make assignments. 3. The nurse manager is not delegating but rather making daily assignments. 4. Assignment occurs after shift report.
A school-age client loses consciousness after being hit in the head with a bat at baseball practice. The child was not wearing a helmet. The last set of vital signs showed heart rate 48, blood pressure 148/74 mmHG, and respiratory rate 28 and irregular
Based on this data, which conclusion by the nurse is the most appropriate? A) Typical for a sleeping child at this age B) A sign of increased intracranial pressure C) Normal for this child D) A sign that this child has a spinal cord injury
A patient is experiencing severe headaches and pressure over her eyes. She feels congested but has no temperature elevation. There is a past history of sinus infection with this patient. The physician might order a(n):
1. expectorant. 2. antibiotic. 3. antitussive. 4. decongestant.