The client is having a nonstress test the next day. Which instruction should the nurse give to the client?

1. "Be sure to come in with a full bladder."
2. "Remember not to eat anything before the test."
3. "You will feel some contractions during the test."
4. "The test should last no longer than 30 minutes."


4
Rationale:
1. This client would find a full bladder distressing.
2. Eating prior to coming for the test might help in that the infant will be stimulated from the glucose.
3. Contractions during the test would be a contraction stress test.
4. The nonstress test requires that the client lie on her side for a minimum of 20 minutes.

Nursing

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A male client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which "related-to" phrase should the nurse add to complete the nursing diagnosis statement?

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