The perinatal nurse notes a rapid decrease in the fetal heart rate that does not recover immediately following an amniotomy. The most likely cause of this obstetrical emergency is:
A) Prolapsed umbilical cord
B) Vasa previa
C) Oligohydramnios
D) Placental abruption
A
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A nurse is to administer mafenide to a client. The nurse would be alert for which of the following?
A) Rash, itching, or other allergic reactions B) Crystals in the urine sample C) Inflammation of the mouth D) Loss of appetite
When the patient returns to the unit from having had an arthrogram, which intervention will the nurse perform first?
a. Ambulate the patient in the room. b. Apply ice packs to the knee. c. Perform passive range-of-motion exercis-es. d. Wrap the knee in an elastic bandage.
When completing documentation on each client, the nurse recognizes that documentation serves what purposes? (Select all that apply.)
a. It communicates to others whether or not care was received. b. It conveys pertinent information about the client's condition and response to treatment interventions. c. It substantiates the quality of care by showing adherence to care standards. d. It provides evidence for reimbursement. e. It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best practice" interventions. f. It is not a source for communicating care to others due to HIPAA rules and regulations.
Analgesia ordered on a ‘prn' (as necessary) basis may be appropriate for:
a. acute pain. b. chronic pain. c. intermittent episodes of pain. d. postoperative pain.