A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Contractions lasting 80 seconds

Early decelerations in the FHR

FHR baseline 170/min

Temperature 37.4° C (99.3° F)

Answer and Explanation

The Correct Answer is C

A.   Contractions lasting 80 seconds, while prolonged, may occur in active labor and do not necessarily indicate a complication requiring immediate provider notification.
B.   Early decelerations in the fetal heart rate are typically benign and are not typically concerning unless they are persistent or associated with other signs of fetal distress.
C.   An FHR baseline of 170/min is above the normal range and may indicate fetal distress or other complications requiring further evaluation and possible intervention, necessitating prompt provider notification.
D.   A temperature of 37.4°C (99.3°F) is within the normal range and does not typically require immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is D

Explanation

A. Chronic kidney disease often results in metabolic acidosis, leading to decreased bicarbonate levels rather than increased.
B. Chronic kidney disease commonly leads to hyperphosphatemia and hypocalcemia due to impaired renal excretion of phosphate and decreased activation of vitamin D, resulting in decreased calcium levels.
C. Chronic kidney disease often results in anemia due to decreased production of erythropoietin, leading to decreased hemoglobin levels rather than increased.
D. Increased creatinine levels are indicative of impaired renal function, a hallmark of chronic kidney disease.

A. Ensuring that a client who is homeless receives preventive medical care B. Being honest with the parents of a child about the need to report suspected abuse C. Accepting the decision of an older adult client to live alone in her home D. Keeping a promise to visit with a client who is housebound after the delivery of care

Correct Answer is A

Explanation

A. Distributive justice involves the fair allocation of resources and benefits to all members of society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equity in healthcare access.
B. Honesty with the parents about reporting suspected abuse is related to ethical principles such as veracity and autonomy, not distributive justice.

C. This choice involves respect for autonomy rather than distributive justice.

D. This choice relates to the ethical principle of fidelity, ensuring that promises made to clients are upheld, rather than distributive justice.

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A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive Justice by performing which of the following tasks?

Correct Answer is A

Explanation

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