The nurse is caring for a patient, G2 P0, who is in active labor with fetal heart rate of 146 with good variability and with rupture of membranes for 28 hours. Which of the following nursing actions is contraindicated for this patient?
A) Administering a soapsuds enema
B) Encouraging the patient to labor in the shower
C) Performing frequent vaginal exams
D) Providing the patient with ice chips to chew on
C
Performing frequent vaginal exams
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A soldier serving in the Middle East was in a convoy when an improvised explosive device (IED) killed three fellow soldiers in the vehicle in front of hers
Five weeks later, she began to report intrusive thoughts of missiles screaming toward her and exploding, and loud sounds began to trigger an involuntary re-experiencing of the IED explosion. Three months later, she reported continuing sleep impairment, nightmares, social withdrawal, disrupted relationships, and flashbacks. This soldier's presentation most suggests: a. acute stress disorder. b. pathological grief reaction. c. posttraumatic stress disorder. d. panic disorder with agoraphobia.
During treatment for shock, the client receives fluid volume replacement. The nurse determines that renal perfusion is being maintained if the urine output is at least
a. 0.25 ml/kg/hour. b. 0.5 ml/kg/hour. c. 1.0 ml/kg/hour. d. 1.5 ml/kg/hour.
What condition is the leading cause of chronic illness in children?
a. Asthma b. Pertussis c. Tuberculosis d. Cystic fibrosis
The phenomenon that occurs upon taking additional doses of acetaminophen for pain when a 100 percent response has been attained is called the ________.
A. Purkinje effect B. ceiling effect C. placebo effect D. first-pass effect