The nurse notes that a client's uterus, which was firm after the fundal massage, has become boggy. Which intervention would the nurse perform next?
A) Perform vigorous fundal massage
B) Check for bladder distention while encouraging the client to void
C) Use semi-Fowler's position to encourage uterine drainage
D) Offer analgesics prescribed by the primary care provider
B
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The nurse is writing the care plan for a patient admitted to the hospital for complications associated with muscular dystrophy. Which nursing diagnoses written on the care plan indicate a need for further instruction in constructing the diagnostic stateme
a. Constipation related to immobility as manifested by lower extremity weakness. b. Activity intolerance related to weakness as evidenced by verbal report of fatigue. c. Feeding self-care deficit related to fatigue as manifested by inability to swallow food. d. Ineffective airway clearance related to muscle weakness.
The nurse assesses the newborn, and the following behaviors are noted: nasal flaring, facial grimacing, and excessive mucus. The nurse is most concerned about:
1. Neonatal jaundice. 2. Polycythemia. 3. Neonatal hyperthermia. 4. Respiratory distress.
Which type of lipid serves as fuel for the body when energy is needed?
A. Phospholipids B. Triglycerides C. Steroids D. Lecithins
A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure?
1. The nurse 2. The physician 3. The social worker 4. The unit secretary