A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her.Which approach can the nurse take to meet the client’s needs at this time?
Answer(s): A
Allow the client to select another individual to give support.This allows her to have someone with her until her family can be with her.
Signs of internal bleeding include all of the following except ______________.
Answer(s): C
Vomiting bile is usually not a sign of internal bleeding.Signs of internal bleeding include painful or swollen extremities; a tender, rigid abdomen; and bruising.
A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
The Apgar scoring system was put into place by Virginia Apgar, an anesthesiologist in New York, for the purpose of assessing newborns in the areas of heart rate, respiratory effort, color, muscle tone, and reflex irritability at 1, 5, and sometimes 10 minutes after birth.
The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are ______________.
Elder people are particularly prone to falling and incurring serious injury, especially in new situations and environments (such as the hospital).
The nurse assesses a client for physiological risk factors for falls.The nurse should conclude that the client is not at risk if which of the following is discovered?
Answer(s): D
Intact recent and remote memory indicates that a client is not at risk for falls.Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.
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