A nurse receives orders from a healthcare provider for an elective labor induction. The provider orders dinoprostone (Cervidil) for cervical ripening. For which client should the nurse question this order?
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A client with polyhydramnios is being cared for during an el…
A client with polyhydramnios is being cared for during an elective induction. The provider broke the bag of water about 30 minutes ago and noted the head was not well applied to the cervix (ballotable). The fetal heart rate monitor shows contractions every five minutes with periodic variable decelerations with every contraction. The nurse enters the room and prioritizes
The nurse is caring for a client who has five cesarean deliv…
The nurse is caring for a client who has five cesarean deliveries and is gravida 6, para 5, at 32 weeks gestational age. The client is diagnosed with morbidly adherent placenta on the placenta accreta spectrum. Because of the risk for catastrophic bleeding, the nurse anticipates the client to be delivered surgically at 34 to 36 weeks of gestation
The nurse is caring for a postpartum client who had a seriou…
The nurse is caring for a postpartum client who had a serious fall resulting in a fractured right femur repaired with open reduction internal fixation (ORIF). Today the nurse notes that her left leg is swollen, painful, and warm to the touch. The nurse calls the provider and anticipates she will order
A nurse is visiting a client who recently gave birth in a ho…
A nurse is visiting a client who recently gave birth in a home setting. The patient states she has been hearing voices that tell her to do things such as harm herself and her newborn child. What is the best action by the nurse?
The nurse is caring for a client on the postpartum unit who…
The nurse is caring for a client on the postpartum unit who tells the nurse that she developed mastitis after her first baby was born. She does not want to develop it again. She asks the nurse about ways to reduce the risk for mastitis. The nurse instructs her to
A client presents to the triage unit of labor & delivery. He…
A client presents to the triage unit of labor & delivery. Her first birth was by cesarean section at 24 weeks gestational age. The client is contracting every two to three minutes and is 4 cm dilated and 100% effaced. The nurse assesses her abdomen and notes a vertical skin incision from below the umbilicus to the pubic symphysis. What question does the nurse ask to assure a safe delivery?
Which of the following white blood cells is the least common…
Which of the following white blood cells is the least common granulocyte and contains granules of histamine that can be active in a hypersensitivity reaction?
According to Lippert, abduction and adduction of the thumb o…
According to Lippert, abduction and adduction of the thumb occur in a plane perpendicular to the palm. Based on this information, what plane would these motions occur in?
You are taking goniometric measurements of the wrist and not…
You are taking goniometric measurements of the wrist and note that on passive motions the patient has full range of motion. However, when the patient moves the wrist into radial deviation, the patient is quite limited. You suspect weakness due to involvement of which spinal segments?