9. A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery
suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of
the following actions s
...
9. A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery
suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of
the following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam ✔✔Prepare the client for a cesarean section
177. A nurse enters a client's room and finds the client lying on the floor in a puddle of water.
Which of the following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table ✔✔Client found lying on the floor near
the bedside table
178. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a Herrington
rod ✔✔A 10-year-old client who has pneumonia and is receiving respiratory treatments
179. A nurse is preparing to administer vancomycin to a client who has an infected wound. The
nurse should plan to monitor for which o
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