The labor nurse is caring for a patient at 38 weeks' gestation who has been diagnosed with symptomatic placenta previa. Which physician order should the nurse question?

1. Begin oxytocin drip rate at 0.5 milliunits/min.
2. Assess fetal heart rate every 10 minutes.
3. Weigh all vaginal pads.
4. Assess hematocrit and hemoglobin.


1
Rationale 1: This order should be questioned, as this patient is not a good candidate for labor induction.
Rationale 2: The fetal heart rate should be assessed often.
Rationale 3: This is an appropriate order.
Rationale 4: This is an appropriate order.

Nursing

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A patient with a diagnosis of immune thrombocytopenic purpura (ITP) is currently receiving IVIG for the treatment of her health condition. The nurse who is providing this patient's care is aware that ITP is a consequence of:

A) Inappropriate platelet aggregation on the walls of the great vessels B) Impaired liver function and the sequestering of platelets by hepatocytes C) Hemolysis of platelets in individuals who lack immunity to the Epstein-Barr virus D) Platelet destruction and impaired platelet production resulting from an autoimmune process

Nursing

When caring for clients receiving oral hypoglycemic agents, the nurse must understand their mechanism of action. For example, glitazones act to:

a. block the breakdown of starches. b. sensitize the body to the insulin that is currently present. c. stimulate insulin release in the pancreas. d. assist the pancreas in the production of insulin.

Nursing

Which of the following would be most important to include when conducting a survey of patients about their healthcare experiences?

A) Using a variety of data collection methods B) Addressing a core set of questions C) Conducting the survey primarily with patients D) Using the data internally for quality improvement

Nursing