The nurse is caring for a patient at 37 weeks’ gestation who has pregnancy-induced hypertension and is in the active phase of labor. How frequently should the nurse assess the fetal heart rate?
1. Every 5 minutes
2. Every 15 minutes
3. Every 30 minutes
4. Every hour
2. Every 15 minutes
You might also like to view...
The client with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. What is the nurse's best first action?
A. Instruct the client to keep the leg elevated for two days. B. Measure the calf circumference and assess for Homan's sign. C. Apply ice to the calf after massaging it for at least 5 minutes. D. Document this expected response to hormonal manipulation.
Your 15-year-old neighbor, who knows you are a mental health nurse, informs you that he or she has "a friend who is talking about suicide." Your best initial response to the young neighbor is:
A) "Who is it? Another neighbor?" B) "I have some time. Tell me a little about this friend." C) "Who else knows? Has this friend told anyone else?" D) "Your friend needs help right away!"
A victim of cyanide exposure is transported to an urban medical center. Which treatment should the nurse anticipate being prescribed for this client?
1. Valium 2. Atropine 3. Sulfur thiosulfate 4. Anti-Lewisite (BAL)
List a condition resulting from vitamin D deficiency that may present in children.
What will be an ideal response?