A nurse in an antepartum unit is caring for a client.

Exhibits

Select the 2 findings that require immediate follow-up.

A nurse is providing teaching to a guardian of a child who has ADHD. Which of the following strategies should the nurse suggest to improve the child's ability to concentrate?

A nurse is preparing to administer heparin at 1,000 units/hr via continuous IV infusion to a client who had a coronary artery bypass graft. Available is heparin 25,000 units in dextrose 5% in water in 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a client who has dehydration due to prolonged diarrhea. Which of the following findings should the nurse expect?

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of "tightness" in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?

A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?

A nurse in an antepartum unit is caring for a client.
 

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Nurses' Notes

2230:

Contractions occurring every 2.5 to 3 minutes, lasting 60 to 70 seconds. Epidural placed by anesthesiologist. Client rates pain with contractions as a 3 on a scale of 0 to 10. FHR 150/min with moderate variability. Accelerations present, no decelerations noted.

Vital Signs

2230:

Temperature 38° C (100.4° F)

Heart rate 88/min

Respiratory rate 16/min

Blood pressure 122/80 mm Hg

Oxygen saturation 98% on room air

A nurse is ordering a breakfast meal tray for a client who has dysphagia and a prescription for a mechanically altered diet. Which of the following foods should the nurse select?

A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?

A nurse is teaching a client who has a new prescription for metformin extended release tablets. Which of the following statements by the client Indicates an understanding of the teaching?

A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?