When caring for a client with preeclampsia, which action is a priority
A. Monitoring the client's labor carefully and preparing for a fast delivery.
B. Continually assessing the fetal tracing for signs of fetal distress.
Checking vital signs every 15 minutes to watch for increasing blood pressure.
D. Reducing visual and auditory stimulation.
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The nurse is caring for a 40-year-old woman who is a black Muslim. Which of the following choices is a concept on which black Muslims focus
A. Celibacy.
B. Prophecy.
C. Reincarnation.
D. Self-esteem.
The nurse is evaluating a client who is complaining of shortness of breath. The client's respiratory rate is 26 breaths per minute so the nurse documents that he is tachypneic. The nurse understands that tachypnea means
A. frequent bowel sounds.
B. heart rate greater than 100 beats/minute
C. hyperventilation.
D. respiratory rate greater than 20 breaths/minute
The physician prescribes several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question
A. Heparin sodium (Hep-Lock).
B. Dexamethasone (Deeadron).
C. Methyldopa (Aldomet).
D. Phenytoin (Dilantin).
Which statement about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS)
Administer 2 to 3 L of IV fluid rapidly.
B. Administer 6 L of IV fluid over the first 24 hours.
C. Administer a dextrose solution containing normal saline solution.
D. Administer IV fluid slowly to prevent circulatory overload and collapse.
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