A client in labor has just experienced the rupture of fetal membranes. If the nurse suspects a prolapsed cord, and asks the LVN/LPN for assistance, the first priority should be to:
A) give oxygen 10 L/min by face mask. B) obtain maternal vital signs. C) start an IV fluid bolus. D) position the mother with knees to chest.
D
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A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills. During the physical examination, the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are
callused. What further actions will the nurse perform? (Select all that apply.) A. A weight assessment B. Assessment for depression C. Draw blood for electrolytes D. Discussion about anorexia nervosa E. Discussion about bulimia
The nurse should instruct a client with a minor head injury to return to the emergency department if what occurs?
1. Slight headache that continues for 24 hours 2. Slight nausea for several hours after injury 3. Increased appetite and fluid consumption 4. The client becomes drowsy or confused.
How is the nursing shortage likely to impact patient care?
A) The current nursing shortage is highly overrated. Given the depressed economy more individuals will seek to become nurses, and positions will be filled shortly. B) Most nurses will be required to delegate more patient care to unlicensed assistive personnel (UAP). Delegation of care is likely to result in lower standards of care if the nurse fails to properly supervise the care given. C) Most individuals enter nursing because it is a "calling"; therefore, they would never allow a shortage to impact patient care. D) The nursing shortage is not likely to have a lasting effect as health care agencies will be recruiting foreign nurses to fill employment vacancies.
What action by the nurse will facilitate the helping relationship during the orientation phase?
A) Providing assistance to meet activities of daily living B) Introducing oneself to the client by name C) Designing a specific teaching plan of care D) Preparing for termination of the relationship