A patient is having contractions that last 20–30 seconds and occur every 8–20 minutes. The patient is requesting something to help relieve the discomfort of contractions. The nurse should suggest:
1. That a mild analgesic be administered.
2. An epidural.
3. A local anesthetic block.
4. Nonpharmacologic methods of pain relief.
4
Rationale 1: The patient does not have an established labor pattern, and analgesics given for pain relief could prolong labor or stop the process.
Rationale 2: The patient does not have an established labor pattern, and an epidural given for pain relief could prolong labor or stop the process.
Rationale 3: A local anesthetic block is given during the delivery of the baby to numb the perineal area.
Rationale 4: For this pattern of labor, nonpharmacologic methods of pain relief should be suggested. These can include back rubs, showers, whirlpools, and the application of cool cloths.
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A home health patient undergoing radiation therapy says, "I feel so useless. I have no energy, no appetite and I fall asleep whenever I sit down." What is the nurse's most therapeutic response?
a. "Fatigue is part of your illness. Taking several long naps in the daytime is helpful." b. "Fatigue is an unfortunate side effect of radiation. It will improve when you finish treatment." c. "You really shouldn't be fatigued. Let me make an appointment with your physician to get this checked out." d. "Don't worry about it. You probably deserve the rest!"
The maternal–newborn nurse recognizes that cord-blood banking has ethical issues related to which of the following questions? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Who owns the blood? 2. How is informed consent obtained? 3. How will confidentiality be maintained? 4. Will standards of care be met fairly? 5. What external agents force or restrict a therapy?
Antibodies are manufactured by:
1. neutrophils. 2. T lymphocytes. 3. B lymphocytes. 4. eosinophils.
José is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be:
a. Directed at his parents because he is too young to understand. b. Detailed in regard to the actual procedures so he will know what to expect. c. Done several days before the procedure so that he will be prepared. d. Adapted to his level of development so that he can understand.