After morning care, the nurse lowered the height of the IV container infusing via gravity flow, at the patient's request. What is the nurse's next best action?
a. Calculate the new infusion rate.
b. Readjust the infusion rate, as needed.
c. Change the IV site and move it to the other arm.
d. Instruct the client to call when the IV bag is empty.
ANS: B
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The nurse knows that a urinary catheter is added to the instrument table if a for-ceps-assisted birth is anticipated. The correct rationale for this intervention is:
a. Spontaneous release of urine might contaminate the sterile field. b. An empty bladder provides more room in the pelvis. c. A sterile urine specimen is needed preoperatively. d. A Foley catheter prevents the membranes from spontaneously rupturing.
A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider. The nurse determines that the teaching was successful when the client states which of the following?
Select all that apply. A) Difficulty swallowing B) Uncontrolled tongue movements C) Muscle laxity D) Shuffling gait E) Diarrhea
Concerning the process of the induction of labor, nurses should be aware that:
1. ripening the cervix usually results in a decreased success rate of induction. 2. labor can sometimes be induced with balloon catheters or laminaria tents. 3. oxytocin is less expensive than prostaglandins and more effective, but creates greater health risks. 4. amniotomy can be used to make the cervix more favorable to labor.
What is a correct statement regarding a nurse who acts beyond the scope of practice?
a. Demonstrates what a good nurse he or she can be b. Provides enriched services to patients who would not otherwise receive them c. May make other nurses angry because of the increased expectations created d. May be disciplined by the board of nurs-ing