Chapter 2: Problem 76
After the physician performs an amniotomy, the nurse's first action should be to assess the: A. Degree of cervical dilation B. Fetal heart tones C. Client's vital signs D. Client's level of discomfort
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A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the: A. Palms rest lightly on the handles B. Elbows are flexed \(0^{\circ}\) C. Client walks to the front of the walker D. Client carries the walker
During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? A. Administering an antibiotic B. Contacting the physician for an order for immune globulin C. Administering an antiviral D. Telling the client that he should remain in isolation for 2 weeks
The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as: A. Atrial flutter B. A sinus rhythm C. Ventricular tachycardia D. Atrial fibrillation
The primary physiological alteration in the development of asthma is: A. Bronchiolar inflammation and dyspnea B. Hypersecretion of abnormally viscous mucus C. Infectious processes causing mucosal edema D. Spasm of bronchiolar smooth muscle
A client with rheumatoid arthritis is receiving Methotrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Methotrexate is to: A. Treat iron-deficiency anemia caused by chemotherapeutic agents B. Create a synergistic effect that shortens treatment time C. Increase the number of circulating neutrophils D. Reverse drug toxicity and prevent tissue damage
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