A laboring client asks the nurse, "Why does the physician want to use an intrauterine pressure catheter (IUPC) during my labor?" The nurse would accurately explain that the best rationale for using an IUPC is which of the following?
1. The IUPC can be used throughout the birth process.
2. A tocodynamometer is invasive.
3. The IUPC provides more accurate data than does the tocodynamometer.
4. The tocodynamometer can be used only after the cervix is dilated 2 cm.
3
Explanation: 3. The IUPC has several benefits over an external tocotransducer or palpation. Because the IUPC is inserted directly into the uterus, it provides near-exact pressure measurements for contraction intensity and uterine resting tone. The increased sensitivity of the IUPC allows for very accurate timing of uterine contractions (UCs).
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A client with sickle cell disease (SCD) takes hydroxyurea (Droxia). The client presents to the clinic reporting an increase in fatigue. What laboratory result should the nurse report immediately?
a. Hematocrit: 25% b. Hemoglobin: 9.2 mg/dL c. Potassium: 3.2 mEq/L d. White blood cell count: 38,000/mm3
A 19 year old client is admitted to the emergency room after a severe motor vehicle accident. The client's driver's license has an organ donation code specified. The nurse explains to the family that
1. The client will have organs harvested within 24 hours 2. The client must experience heart-lung death before organs can be harvested 3. The client is too young to become an organ donor 4. The presence of two electroencephalograms showing no brain activity over 24 hours is required prior to declaration of death
The nurse caring for a patient with a temporary transvenous pacemaker will include which intervention?
a. Informing the patient that they may expe-rience uncomfortable muscle contractions as current passes through the chest b. Leaving the wires exposed for easy as-sessment c. Using an electric razor with caution d. Leaving the controls of the bed in easy reach
The nurse is beginning the assessment of a patient with an endocrine disorder. What should the nurse include in this assessment?
Select all that apply. 1. height and weight 2. skin, hair, and nails 3. deep tendon reflexes 4. musculoskeletal system 5. respiratory system