After being in labor for several hours with no progress, the client is diagnosed with cephalopelvic disproportion (CPD), and must have a cesarean section. The client is being prepared for a cesarean delivery in the operating room
The doctor is present. The nurse knows that the last assessment the nurse should make just prior to the client's being draped for surgery is: 1. Maternal temperature.
2. Maternal urine output.
3. Vaginal exam.
4. Fetal heart tones.
4
Rationale:
1. Maternal temperature is monitored by anesthesia personnel.
2. Maternal urine output is not significant at this point.
3. Vaginal exam is unnecessary when cephalopelvic disproportion (CPD) is present.
4. Fetal heart tones are assessed just prior to the start of surgery because the supine position can lead to fetal hypoxia.
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The Health Care Financing Administration (HCFA) has stated that a resident in a long-term care facility has the right to have the least restrictive treatment to promote health
Which of the following treatments would be questionable under these guidelines? a. Taping an arm board to a resident's wrist to promote the flow of an IV that stops when the resident bends his or her wrist b. Fastening a Velcro belt on a wheelchair-bound resident who is able to unfasten himself or herself c. Applying a soft waist restraint on a resident who repeatedly falls after climbing over the side rails of the bed to go to the bathroom d. Administering a sedative to a resident who has been complaining of insomnia
The nurse anticipates that which of the following clients will be at highest risk for skin problems?
1. The client with diabetes mellitus 2. The client with pneumonia 3. The client with an acute asthma attack 4. The client with a gastrointestinal bleed
Symptoms of gastroesophageal reflux disease (GERD) in older adults include: (Select all that ap-ply.)
a. heartburn. b. regurgitation. c. abdominal pain within one hour of eating. d. vomiting. e. fever and elevated white blood cell count.
Urine drug screening tests, often performed in the workplace, are frequently effective in finding a person who smokes marijuana, because a urine test will be positive for marijuana for up to how long after a person stops smoking the drug?
A. 24 hours B. 1 week C. 2 weeks D. 30 days