What is the appropriate way to assess the fundus of the postpartum patient?
a. Using the side of one hand moving down from the umbilicus
b. Using one hand over the lower segment of the uterus
c. Using one hand pushing upward from the lower uterus
d. Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus
ANS: D
The proper way to assess the fundus of a mother who has just given birth is by placing one hand on the lower uterine segment while the other hand locates the fundus of the uterus.
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Which patient statement reflects a spiritual belief that defines illness?
A. "I am being punished for breaking a religious code." B. "It is a necessary part of my religious culture." C. "I failed to wear special amulets to ward it off." D. "I am sick because I violated dietary practices."
The proper use of the principles of body mechanics
A) Acts as a safeguard against legal action by the client B) Acts to prevent injury to the client and/or nurse C) Primarily protects the client from injury D) Primarily protects the nurse from injury
The main difference between a novice nurse and one who has been a nurse for a while is experience. What skill do novice nurses need to develop to decrease the incidences of "failure to rescue"?
A) Quickly react to change B) Understand the nuances of the laboratory variances C) Anticipate potential problems D) Better documentation so the provider will better understand what is happening
To prevent injury to a pt during logrolling, which action by the nurse is most important?
a. Place an ankle foot orthotic on the pt prior to movement b. Remove the pt's drawsheet to avoid lower extremity entanglement c. Position a pillow between the pt's legs to maintain body alignment d. Raise all four side rails prior to initiating logrolling independently