Which position is best when a laboring woman requires urinary catheterization?
a. Supine
b. Supine with a small pillow under one hip
c. Lying on the side with one knee pulled toward the chest
d. Slight Trendelenburg
B
A small pillow or wedge under one hip displaces the heavy uterus from the inferior vena cava and promotes normal placental blood flow while allowing adequate visualization of the urethra.
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After the patient's data are collected, validated, and interpreted, the nurse organizes the information in a framework (format) that facilitates access by all members of the health care team
The framework that provides the most holistic view of the patient's condition is: a. the head-to-toe pattern b. Marjory Gordon's Functional Health Patterns. c. the cephalic-caudal pattern. d. the body systems model.
The nurse explains that the main roles of the gerontological rehabilitation nurse are to provide rehabilitative care and what other role?
a. Provide restoration b. Teach prevention c. Teach adaptive skills d. Provide positive reinforcement
A nurse forgets to raise the railings of the bed of a patient who is confused after taking pain medications. The patient attempts to get out of bed, and suffers a minor fall
The nurse asks a colleague who witnessed the fall not to mention it to anyone because the patient only had minor bruises. What would be the appropriate action of the colleague? A) No other steps need to be taken, since the patient was not seriously injured. B) The colleague should inform the nurse that a full report of the incident needs to be made. C) The colleague should monitor the patient closely for any adverse effects of the fall. D) The colleague should report the incident in a peer review of the nurse.
A client who has experienced a myocardial infarction develops left ventricular heart failure. Which sign of poor organ perfusion should the nurse remain alert for?
A. Headache B. Hypertension C. Urine output of less than 30 mL/hr D. Heart rate of 55 to 60 beats/min