A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa. She is stable and has minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further teaching?
a. Call if contractions occur.
b. Maintain bed rest with bathroom privileges.
c. Avoid intercourse for 3 days.
d. Stay on left side as much as possible when lying down.
C
Intercourse should be avoided throughout the third trimester, as it may stimulate preterm labor or cause bleeding from the partial placenta previa. The mother should be able to verbalize the need to call if contractions occur and the need to maintain bedrest with bathroom privileges. Also, it is appropriate to stay on left side as much as possible when lying down. This position decreases the stress on the placenta.
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A 1-year-old child receives the MMR vaccine. The next day the child's parent calls the nurse to report that the child has a temperature of 103°F. What will the nurse do?
a. File an adverse event report with the Vac-cine Adverse Event Reporting System (VAERS). b. Notify the child's provider that thrombo-cytopenia is likely to occur. c. Reassure the parent that fever can occur with the MMR vaccine. d. Tell the parent to take the child to the emergency department.
A patient has been diagnosed with premature ventricular contractions. The nurse realizes that this dysrhythmia can result from a weaker than normal stimulus during which action potential period?
1. Absolute refractory period 2. Relative refractory period 3. Supranormal period 4. Subnormal period
When instructing an asthmatic client to use a metered-dose inhaler properly, the nurse should include which of the following instructions?
1. Avoid shaking the canister. 2. Administer three puffs, wait 2 minutes, and administer two more. 3. Puff the inhaler doses in rapid succession. 4. An interval of at least 1 minute should separate the first puff from the second.
To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse would place the diaphragm of the stethoscope at the:
1. second intercostal space. 2. third intercostal space. 3. fourth intercostal space. 4. fifth intercostal space.