A multigravida in her 34th week of gestation presents in the emergency department complaining of vaginal bleeding. Which of the following should be the nurse’s first action
A. Establish IV access.
B. Assess fetal heart rate (FHR) and maternal blood pressure.
C. Prepare the client for a cesarean delivery.
D. Assess maternal heart rate and respiratory rat
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The nurse is administering sublingual nitroglycerin to a client with chest pain. The nurse should place the medication
A. in the cheek.
B. on the tip of the tongue.
C. under the tongue.
D. under the lower lid of the ey
While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following
A. Feelings of disbelief and ambivalence.
B. Feelings of clumsiness and "ugliness".
C. Increasing introspection but a general sense of well-being.
D. Anxiety about the labor and delivery experienc
A male client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take
Assume he’s anxious about discharge, and administer pain medication.
B. Assess the surgical site and affected extremity.
C. Reassure the client that pain is a direct result of increased activity.
D. Suspect a wound infection, and monitor the client’s temperature and vital signs.
Which nursing action takes priority when admitting a elient with right lower lobe pneumonia
A. Elevating the head of the bed 45 to 90 degrees.
B. Auscultating the chest for adventitious sounds.
C. Obtaining a sputum specimen for culture.
D. Notifying the physician of the client’s admission.
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