Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?
a. Epidural anesthesia c. Spinal block
b. Narcotics d. Breathing and relaxation techniques
ANS: D
Nonpharmacologic methods of pain management may be the best option for a woman in advanced labor. It is unlikely that enough time remains to administer epidural or spinal anesthesia. A narcotic given at this time may reach its peak about the time of birth and result in respiratory depression in the newborn.
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A client with disseminated intravascular coagulation (DIC) is anxious and has decreased oxygen saturation. Which is the priority nursing diagnosis for this client?
A) Pain B) Impaired Gas Exchange C) Ineffective Tissue Perfusion D) Anxiety
When planning meaningful stimulation for a client with sensory deprivation, it is most important that the nurse:
a. provide a variety of stimuli so the client will not become bored. b. include visual stimuli because that is the most important sense for most people. c. determine whether the deprivation is due to inadequate stimuli or the inability to receive or process stimuli. d. only to stimulate the client if there is a physician's order to do so.
When asked the significance of tolerance as it related to drug therapy, the nurse's best response would be that
a. "It means more drug is needed to produce the same effect after opioids have been used for over 1 to 2 weeks." b. "Addiction to opioids is developing, and the drugs should be discontinued." c. "The patient needs a smaller amount of drug to produce the same effect." d. "Organ toxicity has occurred, and the drug should be discontinued."
New parents ask if their 8-month-old baby is performing activities that are expected at this age. What should the nurse suggest to screen this baby's developmental level?
1. The Denver Developmental Screening Test (DDST-II) 2. Growth and development charts from the Centers for Disease Control and Prevention (CDC) 3. Assessment tools utilized by the state education department 4. The Apgar scoring system