In providing bladder training for a patient with incontinence, a nurse would include instructions to do which of the following? Select all that apply
1. Drink a maximum of four glasses of water each day.
2. Drink most of the fluids for the day with breakfast.
3. Avoid coffee, tea, or colas with caffeine.
4. Go to the bathroom at least every 2 hours.
5. Drink less in the evening to avoid nighttime difficulties.
ANS: 3, 4, 5
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A client plans to start taking dietary supplements to help with health problems. What should the nurse emphasize about the control of dietary supplements?
a. They are closely regulated by the FDA b. They are not evaluated by the FDA prior to sale c. They are allowed to claim to cure or treat conditions d. They are marketed under the umbrella of natural drugs
A client who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse performs the following assessments
The vaginal exam is deferred until the physician is in attendance. The client is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No contraction pattern is observed. The client is then transferred to the antepartum unit for continued observation. Several hours later, the client complains that she does not feel the baby move. Examination of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital admission. The client is placed on the EFM and no fetal heart tones are observed. What does the nurse suspect is occurring? a. Placental previa b. Active labor has started c. Placental abruption d. Hidden placental abruption
The nurse observes a patient who is gagging and using this gesture (see illustration). What is the nurse's response?
1. Assume the patient is having throat pain and administer pain medication. 2. Prepare to perform the Heimlich maneuver. 3. Assess the patient for cyanosis, difficulty breathing, and stridor and wait until normal breathing resumes. 4. Sit with the patient until the laryngospasm passes and encourage deep breathing.
A young adolescent is transferred to the labor and delivery unit from the emergency department. The patient is in active labor but did not know that she was pregnant. The most important nursing action is to:
1. Determine who might be the father of the baby for paternity testing. 2. Ask the patient what kind of birthing experience she would like to have. 3. Assess blood pressure and check for proteinuria. 4. Obtain a Social Services referral to discuss adoption.