Nurse Amy

A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following? A) Emotional lability B) Focusing phase C) Cognitive restructuring D) Couvade syndrome - A) Emotional lability A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the follo...

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: A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.) A. a bottle containing a sterile solution B. The edge of the sterile drape at the base of the field C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand Infection Control- ATI Fundamentals Ch. ...

- In Maslow's hierarchy of needs, pain relief is on the first layer. Activity (option B) is on the second layer. Safety (option D) is on the third layer. Love and belonging (option A) are on the fourth layer. 6) D - Sleeping undisturbed for a period of time would indicate that the client feels more relaxed, comfortable, and trusting and is less anxious. Decreasing eye contact, asking to see family, and joking may also indicate that the client is more relaxed. However, these also could ...

The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided? A. Bran B. Fresh peaches C. Cucumber salad D. Yeast rolls 10. A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period? A. Teaching how to irrigate the illeostomy B. Stopping electrolyte loss in the incisional area C. Encouraging a high-fiber diet D. Facilitating perineal wound draina...

The four common goals of nursing care are to promote wellness, prevent illness, facilitate coping, and restore health. 7. Which educational nursing program attracts the majority of registered nurse (RN) students? a. Associate degree program b. Diploma program c. Baccalaureate program d. Graduate program The associate degree program attracts the majority of RN students. The number of diploma schools has decreased. Baccalaureate programs take longer to complete and have fewer students....

A client in labor is being monitored by an internal electronic device to evaluate fetal station. The nurse measures the duration of her contractions by: a. Measuring from the beginning of the increment to the end of the decrement b. Measuring from the beginning of one contraction to the beginning of the next c. Measuring from the beginning of the decrement to the end of the increment d. Using an intrauterine catheter that measures increases in contraction Ans: A- the duration of a contrac...

Hirschsprung Disease (megacolon) – absence of parasympathetic ganglion cells in portion of large intestine, bowel enlargement proximal to defect, length of involved bowel varies from internal sphincter to entire colon – these children can’t poop – may require surgical treatment – postop nursing care based on type of surgery performs – keep operative site clean and dry – monitor for pain – provide skin protection, patient and family education Vomiting: – dehydration ...

What is the first action of the nurse when the patient is moved to the OR for a c/section Take the fetal heart tones Antidote to magnesium sulfate Calcium gluconate Involution Process by which uterus returns to pre-pregnant size (approx 6 weeks) Potential for Maternal-Fetal blood mixing Mom and baby blood should not mix during pregnancy, if it mixes results in infection Rh - = mom will need Rhogam injection Rhogam: protects future pregnancy from different blood types, fetus blood can ge...

Know normal discomforts of pregnancy and what is not normal and how do nurses educate their patients on the difference. Look at each system. What a normal change means to her and what education you would give. 13. What activity is appropriate for the pregnant patient? Low impact 14. Placenta is the ‘work horse’ organ of pregnancy – what does it provide/what it doesn’t provide. 15. Amniotic fluid what is the purpose? What is the issue with oligohydramnios, and polyhydramnios. 16. N...

A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client’s partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? a. Ask the client to consider a direct donation b. Withhold the blood transfusion c. Request a consultation with the ethics committee d. Ask the client’s family to intervene 11. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the fol...

client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? Hydatdiform mole A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? ceftriaxone A nurse manager is reviewing ways to prevent a ...

5. What services are birthing centers able to provide? (Select all that apply.) a. Prenatal care b. Labor and delivery services c. Classes for new mothers d. Adoption referrals e. Family planning ANS: A, B, C, E Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family planning. Birthing centers do not offer adoption services. 26. What developments in the early 20th century encouraged women to seek hospitalization for childbirth? (Select...

Match the description to the correct stage of pressure ulcer. Full-thickness tissue loss with damage to or necrosis of subcutaneous tissue. The ulcer may extend down to, but not through, underlying fascia. The ulcer appears as a deep crater with or without undermining of adjacent tissue and without exposed muscle or bone. Drainage and infection are common. Stage 3 Full-thickness tissue loss with destruction, tissue necrosis, or damage to muscle, bone, or supporting structures. There may b...

As a safeguard to reduce the risk for dosing errors, the nurse should request another nurse to doublecheck the setup before patient use. The nurse should reassure the patient that the pump has a lockout feature that prevents him from overdosing even if he continues to push the dose administration button. The nurse should also instruct the patient to administer a dose before potentially painful activities, such as walking. Patient-controlled analgesia is contraindicated for those who are c...

As a safeguard to reduce the risk for dosing errors, the nurse should request another nurse to doublecheck the setup before patient use. The nurse should reassure the patient that the pump has a lockout feature that prevents him from overdosing even if he continues to push the dose administration button. The nurse should also instruct the patient to administer a dose before potentially painful activities, such as walking. Patient-controlled analgesia is contraindicated for those who are c...