Nursing care during the active phase of labor should include:
a. Encouraging pushing with contractions
b. Monitoring vital signs and fetal heart rate
c. Administering a narcotic analgesic as ordered
d. Asking visitors to leave the room so the patient can rest
ANS: B
In the active phase, the maternal vital signs and fetal heart rate should be assessed every 30 minutes. Comfort measures should include nonpharmacologic interventions such as a back rub, a cool cloth to the head, and oral hygiene. The woman usually is somewhat fearful at this stage and will probably want a companion to remain with her.
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In a client with thalassemia, what is the role of the nurse during a transfusion?
A) To closely monitor the rate of administration B) To administer vitamin B12 injections C) To instruct the client to rest immediately if chest pain develops D) To assess for enlargement and tenderness over the liver and spleen
The interface model of disability may be the most appropriate for use by nurses. Why would this be?
A) It fosters dependency. B) It encourages the provision of care that is based on the disability. C) It promotes interactions with patients focused on the cause of the disability. D) It allows for the provision of care that is empowering.
Which action should the nurse take if a discrepancy is found between the measurements of a newborn and the normative criteria?
a. Remeasure the infant. b. Consider this a normal deviation. c. Perform an expanded assessment. d. Inform the parents so that they can follow the infant's growth.
What is the most important reason why nurses should be familiar with health-care reimbursement methods?
a. It allows nurses to be informed client ad-vocates. b. Nursing care plans can be developed based on financial incentives to lower costs. c. Nurses can decide which tests do and do not need to be conducted for particular clients. d. Decisions can be made about when a client can be discharged based on reim-bursement restrictions.