What is the most appropriate nursing action to take when a laboring woman hyperventilates?

a. Help her breathe into her cupped hands.
b. Place her flat on her back.
c. Initiate oxygen at 2 liters via mask.
d. Notify the doctor.


ANS: A
Measures to combat hyperventilation include breathing into cupped hands or a paper bag or holding breath for a few seconds. All of these techniques decrease PCO2.

Nursing

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A patient arrives at the urgent care clinic and complains of vague pains in the legs. The nurse asks the patient to describe this pain. This type of question meets the intellectual standard of precision. As with any skill, critical thinking questions:

a. are used to avoid repetition in providing care. b. can be enhanced through practice. c. should be based in thought and not spontaneity. d. become dull when used routinely.

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The nurse would begin discharge planning for a client having surgery:

a. in the preoperative phase. b. on admission to the surgical facility. c. after completion of the surgery. d. in the postoperative period.

Nursing

Look up the basics for a CT scan and describe what a CT scan of the liver will reveal. What does "CT" stand for?

Nursing

A client arrives in the Emergency Department with severe chest pain. What is the best explanation by the nurse to differentiate angina from a myocardial infarction?

1. "Angina usually goes away with rest, and is rarely fatal, but a myocardial infarction requires immediate treatment, and can be lifethreatening." 2. "There is no way to tell the difference between the two. You will be treated for a myocardial infarction." 3. "Both are caused by a clot blocking the coronary arteries. Angina occurs if a small vessel is blocked, and a myocardial infarction occurs if a large vessel is blocked." 4. "Angina does not cause severe chest pain, but a myocardial infarction always causes severe chest pain."

Nursing