The primary physician orders a narcotic analgesic for a client in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Contraction pattern every 3 minutes for 60 seconds
2. Fetal monitor tracing showing late decelerations
3. Client sleeping between contractions
4. Blood pressure 150/90
5. Blood pressure 80/42
2, 5
Explanation: 2. Maternal hypotension results in uteroplacental insufficiency in the fetus, which is manifested as late decelerations on the fetal monitoring strip.
5. This would be a contraindication, as a narcotic can lower the blood pressure even more.
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The nurse is performing a functional assessment for a client who has had a mild stroke and will be discharged in 2 days from the hospital. What question would be important to ask when conducting this assessment?
A) "Do you have enough money to pay for the medications that you will be taking at home?" B) "Do you have friends that will come and visit and take you out to socialize?" C) "You have an appointment to see the physician in 1 week. How will you obtain transportation to come to the office?" D) "Do you understand that your medication can cause bleeding tendencies?"
A nursing student asks the instructor why the pituitary gland is called the "master gland." What is the best response by the instructor?
A) "It regulates the function of other endocrine glands." B) "It is the gland that is responsible for regulating the hypothalamus." C) "The gland does not have any other function other than to cause secretion of the growth hormones." D) "It regulates metabolism."
The nurse is preparing a client for a cardiac catheterization. What assessment is a priority before the procedure?
a. Client's level of anxiety b. Ability to turn self in bed c. Cardiac rhythm and heart rate d. Allergies to iodine and shellfish
Which statement about pain is true?
a. Each patient perceives a painful event differently. b. Patients who cannot describe their pain do not really have pain. c. It is not necessary to assess for pain in patients who are sleeping. d. Infants and young children feel pain less intensely than adults do.