A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain.
Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
Perform Leopold maneuvers.
Apply counterpressure to the sacral area
Ambulate the client in the hallway
Administer 70-90% nitrous oxide mixed with oxygen
Correct Answer : B,C,D,E
Applying counterpressure to the sacral area can help alleviate back pain during labor.
Ambulating the client in the hallway can help with pain management and facilitate labor progress.
Administering nitrous oxide mixed with oxygen can provide pain relief during labor.
Having the client sit upright can help with pain management and facilitate labor progress.
Choice A is incorrect because performing Leopold maneuvers is a technique used to assess fetal position and presentation and is not a pain management technique.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy that can result in dehydration, weight loss, and ketosis.
Clinicians suspect hyperemesis gravidarum based on symptoms and can support the diagnosis by measuring urine ketones.
Choice A, Rapid plasma reagin, is a blood test used to screen for syphilis.
Choice B, Prothrombin time, is a blood test that measures how long it takes for blood to clot.
Choice D, Urine culture, may be indicated because urinary tract infection is common in pregnancy and can be associated with nausea and vomiting.
However, urine ketones would be a more specific test for hyperemesis gravidarum.
Correct Answer is C
Explanation
A nurse caring for a client who is at 36 weeks of gestation and has methicillin- resistant Staphylococcus aureus (MRSA) should initiate Contact Precautions.
Choice A is incorrect because Droplet Precautions are not necessary for MRSA.
Choice B is incorrect because a Protective Environment is not necessary for MRSA.
Choice D is incorrect because Airborne Precautions are not necessary for MRSA.
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