A nurse is caring for four patients on the labor and delivery unit. Which of the following actions should the nurse take first?

A) Check the contraction frequency of a multigravida in active labor.
B) Assess the vaginal blood loss of a primigravida who is 4 hours postpartum.
C) Assess the patellar reflexes of a patient with eclampsia.
D) Check the fetal heart rate of a patient who ruptured membranes 4 hours ago.


C
Assess the patellar reflexes of a patient with eclampsia.

Nursing

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The nurse is acting as medication nurse for the unit. How often will the nurse document medication administration?

1. Every 2 hours for all clients 2. Every 4 hours for all clients 3. At the end of the shift for all clients 4. After each client receives a medication

Nursing

Which of the following safety hazards would be taken into consideration in planning care for an elderly client?

A) Suffocation B) Poisoning C) Drowning D) Burns

Nursing

A newly married couple worried about fertility asks the nurse for counseling. They have been trying to conceive for four months with no success

The husband is 38 and the wife is 29. They had previously used combination oral contraceptives as a way to prevent pregnancy. What is the best advice for the nurse to give them? A) They are not considered infertile until they have spent 12 months trying to conceive B) They should seek fertility counseling C) They should increase intercourse frequency to four times a week around the time of ovulation D) They should undergo comprehensive diagnostic testing

Nursing

A nurse cares for a client who states, "My husband is repulsed by my colostomy and refuses to be intimate with me." How should the nurse respond?

a. "Let's talk to the ostomy nurse to help you and your husband work through this." b. "You could try to wear longer lingerie that will better hide the ostomy appliance." c. "You should empty the pouch first so it will be less noticeable for your husband." d. "If you are not careful, you can hurt the stoma if you engage in sexual activity."

Nursing