Which nursing action is correct when initiating electronic fetal monitoring?
a. Lubricate the tocotransducer with an ultrasound gel.
b. Inform the client that she should remain in the semi-Fowler's position.
c. Securely apply the tocotransducer with a strap or belt.
d. Determine the position of the fetus before attaching the electrode to the maternal abdomen.
C
The tocotransducer should fit snugly on the abdomen to monitor uterine activity accurately.
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A nurse is caring for a baby with neonatal abstinence syndrome. Which of the following medications should the nurse be prepared to give? (Select all that apply.)
A. Chlorpromazine (Thorazine) B. Clonidine (Catapres) C. Diazepam (Valium) D. Phenobarbital (Luminal) E. Naloxone (Narcan)
Diffusion is one of the mechanisms involved in absorption of medications. What is an effective way for the nurse to explain this mechanism of absorption to a patient?
a. Spray perfume in the air. b. Pour clear water into clear water in a cup. c. Mix flour in a large cup. d. Put bread and meat together.
A nurse is caring for a client diagnosed with a respiratory condition for which drug therapy has been prescribed. Which of the following would the nurse need to address when developing appropriate expected outcomes related to the drug therapy?
A) Amount of time the patient will take to recover fully B) Amount of drugs the patient will require during the treatment C) Possible adverse reactions that could occur during the therapy D) Maximum level of wellness reasonably attainable for the patient
Which of the following examples of client data needs to be validated? Select all that apply
A) A client has trouble reading an informed consent, but states he does not need glasses. B) An elderly client explains that the black and blue marks on his arms and legs are due to a fall. C) A nurse examining a client with a respiratory infection documents fever and chills. D) A client in a nursing home states that she is unable to eat the food being served. E) A pregnant client is experiencing contractions that are two minutes apart.