A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Contractions lasting 80 seconds

Early decelerations in the FHR

FHR baseline 170/min

Temperature 37.4° C (99.3° F)

Answer and Explanation

The Correct Answer is C

A.   Contractions lasting 80 seconds, while prolonged, may occur in active labor and do not necessarily indicate a complication requiring immediate provider notification.
B.   Early decelerations in the fetal heart rate are typically benign and are not typically concerning unless they are persistent or associated with other signs of fetal distress.
C.   An FHR baseline of 170/min is above the normal range and may indicate fetal distress or other complications requiring further evaluation and possible intervention, necessitating prompt provider notification.
D.   A temperature of 37.4°C (99.3°F) is within the normal range and does not typically require immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is C

Explanation

A. While important for documenting the client's progress, this choice does not directly promote communication among staff members.
B. While essential for maintaining accurate records, this action does not directly facilitate communication among staff.
C. Interdisciplinary team meetings allow healthcare professionals from different disciplines to collaborate, share information, and develop comprehensive care plans tailored to the client's needs. This promotes effective communication among staff caring for the client with expressive aphasia and right hemiparesis.
D. While important for the client's safety, this action does not address the need for ongoing communication and collaboration among staff members.

A. Eat a meal. B. Complete oral hygiene. C. Use an albuterol inhaler. D. Take pancrelipase.

Correct Answer is C

Explanation

A. Eating a meal before postural drainage could increase the risk of aspiration during the procedure.
B. Completing oral hygiene is good practice but not directly related to postural drainage.
C. Albuterol can help open the airways, making the postural drainage process more effective.
D. Pancrelipase is a medication to aid in digestion and is not directly related to the initiation of postural drainage.

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Body Systems	Findings
Head, Eyes, Ears, Nose, and Throat (HEENT)	Yellowing of the eyes Blurred vision Dry eyes
Gastrointestinal	Abdominal pain Hard stool
Hematologic	Increased bruising Increased bleeding tendency Insomnia
Genitourinary	Red/orange tint to urine Darkening of the urine

A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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