Author Question: The nurse is monitoring a client who is receiving an amnioinfusion. Which assessments must the nurse ... (Read 65 times)

jerry coleman · **on:** Jun 27, 2018

The nurse is monitoring a client who is receiving an amnioinfusion. Which assessments must the nurse perform to prevent a serious complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Color of amniotic fluid
2. Maternal blood pressure
3. Cervical effacement
4. Uterine resting tone
5. Fluid leaking from the vagina

Question 2

The school nurse is conducting pediculosis capitis (head lice) checks. A child with a positivehead check would have

1. white,flaky particles throughout theentire scalp region.
2. maculopapular lesions behind the ears.
3. lesions in the scalp that extend to thehairline or neck.
4. white sacs attached to the hair shaftsin the occipital area.

itsakadoozi · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2, 4, 5
Explanation: 2. Blood pressure should be monitored along with other vital signs.
4. The nurse should monitor contraction status (frequency, duration, intensity, resting tone, and associated maternal discomfort).
5. The nurse should continually check to make sure the infused fluid is being expelled from the vagina.

Answer to Question 2

Answer:4
Rationale:Evidence of pediculosis capitis include white sacs (nits) that are attached to the hair shafts,frequently in the occiput area.Lesions may be present from itching,but the positive sign is evidence of nits.Lice and nits must be distinguished from dandruff,which appears as white flaky particles.