The certified nursing assistant (CNA) places a confused, weak patient in a wheelchair and applies a vest protective device. The nurse should instruct the CNA to: (Select all that apply.)

A nurse caring for a patient with a chair alarm will do which of the following interventions as recommended by the 2016 National Safety Goals to prevent alarm fatigue.

When the nurse is explaining Tier 2 as developed by the Hospital Infection Control Practices Advisory Committees (HICPAC), the nurse will emphasize that the purpose of Tier 2 is to:

When the patient complains of vague symptoms of malaise and fatigue and has a low-grade fever, but has no other specific signs of illness, the nurse suspects that this patient is in the prodromal phase of infection (the time immediately before the illness is diagnosed). The nurse should include in the plan of care to:

A client has received  Cervidil (dinoprostone) for cervical ripening. Which of the following signs/symptoms should the nurse carefully monitor in this client?

A 30-year-old primigravida presents following a motor vehicle collision. The patient sustained multiple lacerations on her lower limbs and has a right tibia fracture. The patient is given analgesics and intravenous fluids. Fetal heart monitoring (FHM) is performed to assess fetal well-being. Which of the following findings on the fetal heart monitor will indicate adequate fetal oxygenation in this patient?

A 32-year-old G3P2 woman at 38 weeks gestation is being induced for diet-controlled gestational diabetes. The fetus has an estimated weight of 3800 grams (8.37 pounds) on the last growth ultrasound performed at 36 weeks. The induction is started with oxytocin, and a Foley catheter is inserted into her cervix. Her vital signs remain stable during her induction. The foley catheter is removed when the patient is 4 cm dilated, 60% effaced, and -3 station. The patient is comfortable with her contractions and does not request pain medications. Why should an amniotomy be delayed in this scenario?

A 37-year-old G3P2 at 37 weeks and 2 days presents to labor and delivery complaining of a severe headache, epigastric pain, and blurry vision. In triage, her blood pressure is 187/112 mmHg. Urine dip reveals proteinuria. Upon reviewing the patient’s chart, the patient established her prenatal care in the week prior, and her gestational age was found to be approximately 37 weeks with an ultrasound. Which of the following is the best next step in management?

A patient is in the first stage of labor and is experiencing uterine contractions every 3 minutes. Upon reviewing the fetal heart rate pattern, you interpret she is having recurrent late decelerations, and there is moderate variability with some accelerations. What is the classification for this fetal heart rate pattern?

Client’s Chart Laboratory ResultsSodium145 mEq/L Potassium6.3 mEq/L Calcium9 mg/dL Magnesium2.0 mEq/L The nurse is admitting a client to the telemetry unit, and the nurse checks the client’s chart. Based on the laboratory results, which clinical manifestations would the nurse anticipate observing? Refer to chart. Select all that apply.