Which is the outer layer of the skin?
a. Dermis
b. Epidermis
c. Epithelium
d. Nerves
B
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The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled. Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick
Which initial action by the nurse is most appropriate? A. Arrange admission to the high-risk OB unit. B. Instruct the woman on strict bedrest. C. Obtain a clean-catch urine sample. D. Prepare to administer IV anti-hypertensives.
What statement is descriptive of a concussion?
a. Petechial hemorrhages cause amnesia. b. Visible bruising and tearing of cerebral tissue occur. c. It is a transient and reversible neuronal dysfunction. d. It is a slight lesion that develops remote from the site of trauma.
The breastfeeding client should be taught a safe method to remove her breast from the baby's mouth. Which suggestion by the nurse is most appropriate?
a. Break the suction by inserting your finger into the corner of the infant's mouth. b. A popping sound occurs when the breast is correctly removed from the infant's mouth. c. Slowly remove the breast from the baby's mouth when the infant has fallen asleep and the jaws are relaxed. d. Elicit the Moro reflex in the baby to wake the baby up, and remove the breast when the baby cries.
A patient who is intubated is demonstrating rhonchi and has a pulse oximeter reading of 92%, soft abdomen, heart rate 88 bpm, and blood pressure 98/54 mmHg. Which intervention is the nurse's first priority?
1. Suction the patient. 2. Contact the physician. 3. Increase the oxygen. 4. Start dopamine.