After a woman's amniotic membranes rupture, the nurse notes the characteristics of the amniotic fluid. The nurse would be concerned if what was observed?
a. Pale yellow color
b. Clear fluid
c. Greenish color
d. Blue results with Nitrazine paper test
ANS: C
A greenish color suggests the presence of meconium, which may be associated with fetal distress. Blue results with Nitrazine paper, clear, and pale yellow colors are normal characteristics of amniotic fluid.
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The legal basis for a nurse to provide emergency treatment without consent to a client incapable of informed consent is:
1. Such care is clearly a nursing responsibility 2. To fail to provide such care is nursing negligence 3. It is presumed that the client would want the emergency treatment 4. Health care providers have an obligation to provide emergency treatment
What indicates that spinal shock is terminating?
a. Voluntary movement below the level of injury b. Reflex emptying of the bladder c. Paresthesia below the level of injury d. Decreased deep tendon reflexes and flaccid paralysis
Patients who are genetically predisposed to an immune-mediated medication response:
A) typically have a history of more than one autoimmune disorder. B) had an initial exposure and sensitization to a particular antigen. C) should be given an antihistamine before receiving the medication. D) will experience a minor reaction that is generally limited to hives.
A patient is taking a cytokine immunomodulator to treat RA. The primary care NP caring for this patient should:
a. obtain periodic complete blood counts (CBCs) and liver function tests (LFTs). b. perform annual tuberculosis (TB) skin testing. c. advise the patient of an increased risk of bone cancer. d. administer the intranasal live attenuated influenza vaccine (LAIV) each year.