Which of these is considered to be a danger sign that may occur during labor?
a. fetal heart rate between 120 and 160 bpm with no late or variable decelerations
b. maternal temperature above 100.4 degrees Fahrenheit
c. contractions lasting longer than 90 seconds
d. flecks of vernix in amniotic fluid
B
An elevation in the laboring client's temperature may be an indication that a uterine infection is present.
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The nurse finds that the client with a somatoform disorder has physical symptoms, but there is no evidence of physiologic disease
The client may have decreased amounts of serotonin and endorphins, causing the client to experience an increased sensitivity to pain. This explanation of the client's symptoms is based in: 1. Communication theory. 2. Humanistic theory. 3. Biologic theory. 4. Genetic theory.
The main disadvantage of intrathecal opioids is the
a. need for strict bed rest b. high incidence of maternal hypotension c. decreased motor ability d. short duration of analgesic effect
Which nursing intervention would be appropriate for an elderly male client who has returned from having a transurethral resection of the prostate (TURP) with a three-way indwelling catheter and now tells the nurse he has to urinate?
A) Retape the catheter to the abdomen. B) Irrigate the catheter. C) Reposition the catheter. D) Deflate and then reinflate the balloon.
A person was directing traffic on a busy street, rapidly shouting, "To work, you jerk, for perks" and making obscene gestures at cars. The person has not slept or eaten for 3 days
Which assessment findings will have priority concern for this patient's plan of care? a. Insulting, aggressive behavior b. Pressured speech and grandiosity c. Hyperactivity; not eating and sleeping d. Poor concentration and decision making