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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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XIOMARAMR XIOMARAMR
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6 years ago
A pregnant patient with a long-standing history of cardiovascular disease is admitted to the high-risk OB unit. The patient will have internal continuous electronic fetal monitoring until delivery. Which action by the nurse takes priority?
 
  A.
  Assess the woman's vital signs every hour until delivery.
  B.
  Consult with the physician about prophylactic antibiotics.
  C.
  Educate the woman and partner about this modality.
  D.
  Prepare an infusion of magnesium sulfate (Sulfamag).
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#1
6 years ago
ANS: B
Internal electronic fetal monitoring is an invasive procedure that carries the risk of infection. Because the patient has a history of cardiac disease, the nurse should consult with the physician about antibiotics in case the woman is at risk for endocarditis. If the patient is stable and not in labor, hourly vital signs are not needed. Education is always an important responsibility, but patient safety and infection control are higher priorities. There is no indication that the woman needs magnesium sulfate.
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