A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of the following clients should the nurse see first?

A client who is at 38 weeks of gestation and reports irregular uterine contractions

A client who is at 39 weeks of gestation and is scheduled for a weekly nonstress test (NST)

A client who is at 40 weeks of gestation and is scheduled for an induction of labor

A client who is at 36 weeks of gestation and reports decreased fetal movement for 2 days

Answer and Explanation

The Correct Answer is D

A. Irregular uterine contractions at 38 weeks of gestation may not be a concern unless they become regular and more intense.

B. A client scheduled for a nonstress test (NST) at 39 weeks of gestation can typically wait until after attending to more urgent matters.

C. A client scheduled for an induction of labor at 40 weeks of gestation is not necessarily a priority unless there are urgent concerns.

D. Decreased fetal movement, especially for 2 days at 36 weeks of gestation, requires immediate assessment to ensure fetal well-being.

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Correct Answer is B

Explanation

A. While it's important for the client to empty their bladder before surgery to reduce the risk of complications, administering a preoperative injection typically requires monitoring the client closely for any adverse reactions rather than immediately taking them to the bathroom.

B. Asking the client to verify the surgical site helps prevent wrong-site surgery and ensures proper patient safety protocols are followed.

C. Reviewing deep breathing and coughing exercises is an important preoperative teaching, but it's not typically done immediately after administering a preoperative injection.

D. Raising the side rails on the bed is a safety measure to prevent falls, but it's not directly related to administering a preoperative injection.

A. Influenza immunizations B. Tuberculosis screenings C. Presentations about safer sex practices D. Evaluations of bloodborne pathogen policies

Correct Answer is B

Explanation

A. Influenza immunizations: This is an example of primary prevention because it aims to prevent the occurrence of influenza infection in the first place.

B. Tuberculosis screenings: This is an example of secondary prevention because it involves early detection and treatment of tuberculosis infection to prevent its progression to active disease and

transmission to others.

C. Presentations about safer sex practices: This is an example of primary prevention aimed at reducing the risk of sexually transmitted infections by promoting safe behaviors.

D. Evaluations of bloodborne pathogen policies: This is an administrative activity related to ensuring workplace safety and adherence to policies and procedures and does not directly

involve prevention of communicable diseases among individuals.

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A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of the following clients should the nurse see first?

Nursing Test Bank

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A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of the following clients should the nurse see first?