Author Question: The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are admitting a laboring ... (Read 130 times)

jenna1

  • Hero Member
  • *****
  • Posts: 568
The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are admitting a laboring client. The client is making groaning guttural sounds during contractions, and answering questions with one-word answers.
 
  The Labor and Delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced Labor and Delivery nurse has not yet completed a pelvic exam. The nurse new to Labor and Delivery understands that this is an example of: 1. An expert nurse assessing advanced labor and imminent delivery in the client.
  2. The correct order of steps when admitting laboring clients.
  3. Inconsistencies in an individual nurse's approach to client care.
  4. Advanced nurse practice.

Question 2

The nurse is teaching the parents of a small child strategies to prevent insect bites and stings. Which statement made by the parents indicates a need for further teaching?
 
  1. If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her.
   2. My child should avoid heavy colognes, perfumes, and soaps, so that insects are not attracted to them.
   3. We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction.
   4. My child can use insect repellent containing DEET of 10 or less.



adf223

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

1
Rationale:
1. An expert nurse utilizes multiple aspects of a client's behavior (including the length of each response to a question, and sounds the patient produces during contractions) in addition to the more objective findings of the pelvic exam (including dilation of the cervix) in the assessment of a laboring client. The expert nurse has identified that the grunting and guttural sounds during contractions are involuntary pushing, and that the client is very close to delivery.
2. Although most nurses have a routine when admitting a client, the order of the steps will vary according to the situation at hand.
3. Changing the order of the steps of admission is not being inconsistent; changing the order of the steps of admission is responsive to the needs of the client at that point in time.
4. Advanced nurse practice describes educational and certification achievement, and is not used to describe the continuum from novice to expert.

Answer to Question 2

1
Rationale:
1. Bright-colored clothing and floral prints attract the insects. White and light-colored clothing should be worn.
2. Heavy colognes, perfumes, soaps, and detergents resemble flowers and plants, and will attract the stinging insects.
3. Standing water is a breeding ground for mosquitoes. Rid yards of all bird baths, stagnant pools, any standing water that mosquitoes could use for breeding.
4. DEET is an appropriate insect repellent, and can be used in children. A concentration of 10 or less is recommended due to neurotoxic effects at greater concentrations.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

For a complete list of videos, visit our video library