Blog

A patient diagnosed with pre-eclampsia without severe features is being induced for delivery at 37 weeks.  During labor, she develops pressures that are 166/108.  It has been 15 mins since that pressure was taken. She currently has an IV running with LR at 125 ml/hr and pitocin at 8mu/hr. When you receive your orders, prioritize them in what order they need to be done.

The birth of a 4500-gram baby was complicated by shoulder dystocia. After you have called for help, what is your first priority intervention when the shoulder dystocia is recognized [shoulderinterventions] Which newborn complication should the nurse be alert to [shouldercomplications]?

The nurse prepares to give digoxin (Lanoxin) to a 9-month-old infant. The nurse checks the dose and draws up 3.5 mL of the drug. The most appropriate nursing action is which?

A patient with acute gastrointestinal (GI) bleeding from a gastric ulcer is receiving a normal saline bolus at a rate of 500 ml/hr. Which assessment data obtained by the nurse are most important to communicate immediately to the health care provider?

A patient’s Arterial Blood Gas (ABG) results are as follows: pH 7.25, PaCO2 50 mmHg, HCO3 20 mEq/L. Which acid-base imbalance is present, and is there compensation?  

A pregnant client presents in labor at term gestation, having no prenatal care.  After birth, her infant is noted to be microcephalic, small for gestational age (SGA) with small eyes and a thin upper lip. Based on the nurse’s assessment, this client’s prenatal history may be positive for which substance?

A patient with acute pancreatitis has a nasogastric (NG) tube to low wall suction and diet order is nothing by mouth (NPO).  What information will the nurse teach the patient regarding the expected outcome of the treatments? (Select all that apply.)

While caring for a postoperative patient on the first postoperative day (POD 1), which information about the patient is most important to communicate to the health care provider?

Which patient is most at risk for placental abruption (abruptio placentae)?

Match the drug to the nursing considerations that are most relevant to this medication.