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When caring for a client during the second stage of labor, which action would be least appropriate

Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rat

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During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do

A. Record the amount of drainage on the client’s chart.
B. Irrigate the tube with normal saline solution.
Call the physician immediately.
D. Increase the intravenous infusion rat

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When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include

A. Wide-based gait and poor muscle coordination.
B. Tremors and lack of active movement.
C. Increased muscle tone and stretch reflexes.
D. Slow, wormlike writhing movements.

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One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan

A. Intravenous fluid therapy.
B. Fast-acting anticoagulant therapy.
C. Parenteral iron therapy.
D. Exchange transfusion.

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A pregnant client is admitted to the hospital at 34 weeks gestation and is receiving intravenous tocolytic therapy for preterm labor. The physician orders betamethasone (Celestone) intramuscularly for her. After administering the drug, the nurse would assess the client for which of the following as a possible side effect

A. Decreased skin turgor.
B. Infection.
C. Urinary frequency.
D. Hypoglycemi

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When caring for a client during the second stage of labor, which action would be least appropriate

Assisting the client with pushing. B. Ensuring the client’s legs are positioned appropriately. C. Allowing the client clear liquids. D. Monitoring the fetal heart rat

During the evening shift on the day of the client’s surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do

When developing a teaching plan for the mother of a child diagnosed with spastic cerebral palsy, which of the following descriptions would the nurse include

One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan

Assisting the client with pushing.
B. Ensuring the client’s legs are positioned appropriately.
C. Allowing the client clear liquids.
D. Monitoring the fetal heart rat