The perinatal nurse is assessing Karen, a 32-year-old G5 TPAL 2204 woman at 36 weeks gestation. Her fundal height measurement was last recorded at 34 centimeters
Karen's abdomen appears to be widest from side to side and no fetal part is palpated in the fundal portion of the uterus or above the symphysis pubis. The perinatal nurse suspects the possibility of what type of presentation:
A) Breech
B) Shoulder
C) Cephalic
D) Face
B
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A patient complaining of back pain tells the nurse that he needs several refills on any prescription since he takes the medication more frequently than prescribed. What should this information suggest to the nurse?
1. The patient has lost control over the consumption of the pain medication. 2. The patient is impulsive. 3. The patient uses the pain medication to fit in with a peer group. 4. The patient uses the pain medication to overcome low self-esteem.
The client has been ordered to take iron supplements and is also being treated with antacids. The highest priority action on the part of the nurse is to instruct the client to take the iron supplement:
a. 30 minutes before taking his antacid. b. within 1 hour of taking the antacid. c. 1 hour after taking the antacid. d. 1 hour before the antacid along with milk.
The nurse, developing a care plan for a patient diagnosed with hypothyroidism, creates what appropriate nursing diagnosis?
A) Imbalanced nutrition: Less than body requirements B) Ineffective thermoregulation: Excess or ineffective airway clearance C) Decreased cardiac output D) Ineffective airway clearance
The nurse is caring for a post–lumbar puncture client experiencing an intense headache. The physician is notified and arriving to assess the client. If the physician chooses aggressive treatment, which nursing action is anticipated?
A) Hanging an intravenous solution B) Drawing venous blood to perform a blood patch C) Applying ice to the back of the neck D) Offering caffeinated drinks