The nurse is caring for a client in labor who is fearful and anxious. The nurse attempts to relieve these feelings in order to prevent what effect on labor? Select all that apply. Standard Text: Select all that apply
1. Prolonged labor
2. Increased pain with contractions
3. Abnormal fetal heart rate
4. Decreased effectiveness of contractions
5. Increased risk of pre-eclampsia
1,2,4
Rationale: Fear and anxiety increase the time it takes to deliver, increase the pain experienced with each contraction, and decrease the effectiveness of contraction. Fear and anxiety do not increase the risk of pre-eclampsia or increase fetal heart rate.
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The nurse is giving home care instructions to a patient who just had a cataract removed and an intraocular lens implanted. What information should the nurse provide to the patient?
A) Don't sleep on the operated side. B) Wear the eye shield continuously for 2 weeks. C) Aspirin may be taken for mild pain. D) Straining during bowel movements is allowed.
A patient being evaluated for septic shock has a serum lactate level of 5 mmol/L. What intervention does the nurse anticipate?
1. Decreasing the amount of oxygen being given 2. Immediate initiation of fluid resuscitation 3. Repeat of the testing in 4 hours 4. Bedside fingerstick level of blood glucose
A female patient is scheduled for an ultrasound to examine the uterus. How should the nurse instruct the patient to prepare for the test?
1. Take a laxative the night before the test to clear the colon of feces. 2. Restrict fluids prior to the day of the test. 3. Take no food or fluids after midnight the day before the test. 4. Increase fluid intake and do not void until after the test.
Which program provides supplemental foods, nutrition education, and referrals to health care?
A) Medicaid B) Women, Infants, and Children C) Temporary Assistance to Needy Families D) State Children's Health Insurance Program