During the second stage of labor, the nurse should monitor the fetal heart rate every:
a. 5 minutes.
b. 10 minutes.
c. 15 minutes.
d. 20 minutes.
A
Fetal heart rate should be assessed every 5 minutes during the second stage of labor.
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A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would most likely be a priority?
A) Impaired skin integrity related to trauma secondary to pruritus and scratching B) Fluid volume deficit related to increased metabolic demands and insensible losses C) Social isolation related to infectivity and inability to go to the playroom D) Deficient knowledge related to how infection is transmitted
The nurse is providing education for a client diagnosed with systemic lupus erythematosus (SLE). Which statement will the nurse include in the teaching material?
A) "Excessive inflammation occurs when you have less white blood cells." B) "Removal of dead cells in your body causes an immune response." C) "Your body is in a state of imbalance due to problems removing dead cells." D) "Excessive inflammation occurs when you have abnormally-shaped cells."
In evaluating a population-based nursing practice, the nurse asks, "Did we have enough resources left over to meet the essential health needs of lower-risk population groups?" The nurse asks this question to address which goal?
a. Access c. Cost b. Quality d. Equity
Five-year-old Tess must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which of the following methods to restrain her?
A) Restrain her with a mummy restraint, and loosen and rewrap it every 3 hours. B) Restrain her on a papoose board and release her as soon as the IV is in place. C) Use a clove-hitch restraint to keep her arm still and loosen it every 2 hours. D) Allow her caregiver to hold her during the time the IV is in place.