A client in active labor states that she needs to use the bedpan for a bowel movement. The first action of the nurse should be to
a. encourage her to get up to the bathroom
b. examine the cervix for progress
c. give her the bedpan
d. reassure her that this is normal with fetal descent
B
The feeling of a need to have a bowel movement frequently is a signal that the mother is ready to deliver. The nurse should check the status of cervical dilation and effacement. The mother should remain in bed at this time. If the mother is given a bedpan before the nurse examines the cervix for progress, the mother might deliver the fetus in the bedpan.
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A woman received butorphanol (Stadol) IV for labor pain. Thirty minutes later, the patient's respiratory rate is 8 breaths/minute. What action by the nurse is best?
A. Administer naloxone (Narcan) per protocol. B. Call the perinatal rapid response team. C. Reduce the next dose of Stadol by half. D. Hold the next dose of Stadol and notify the provider.
Identify a key service provided by the American Nurses Association
a. Accrediting schools of nursing b. Improving the standards for higher educa-tion in nursing c. Improving health and nursing care throughout the world d. Testing and certifying advanced practice nurses
The client complains of difficulty breathing. Which of the following assessment findings would the nurse commonly associate with that complaint? (Select all that apply.)
1. Use of accessory muscles 2. Increased respiratory depth 3. Increased respiratory rate 4. Decreased respiratory depth 5. Decreased respiratory rate
A client scheduled for genetic testing is concerned that an employer will learn about the testing and terminate the client's employment. How should the nurse respond to this client?
1. "There really is not anything that can be done." 2. "The insurance company has to report the testing to the employer." 3. "Your employer will have this information from the healthcare claim." 4. "There is a federal law prohibiting employers from using genetic information for employment purposes."