A client is experiencing postpartum hemorrhage. What should the nurse prioritize when providing care to this client?

Monitoring the client's pain level.

Encouraging the client to breastfeed frequently.

Assessing the client's uterine contractions.

Educating the client about contraceptive methods.

Answer and Explanation

The Correct Answer is C

A) Incorrect. While monitoring the client's pain level is important, it is not the priority when managing postpartum hemorrhage.

B) Incorrect. While breastfeeding can help stimulate uterine contractions, it is not the priority when actively managing postpartum hemorrhage.

C) Correct. Assessing the client's uterine contractions is the priority when managing postpartum hemorrhage. Weak or ineffective contractions can contribute to excessive bleeding after childbirth.

D) Incorrect. While educating the client about contraceptive methods is essential for family planning, it is not the immediate priority when managing postpartum hemorrhage.

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Correct Answer is D

Explanation

A) Incorrect. While the respiratory rate is an important vital sign to monitor, it does not directly indicate the effectiveness of a blood transfusion.

B) Incorrect. Blood pressure is a critical vital sign, but it is not specific to assessing the effectiveness of a blood transfusion.

C) Incorrect. Urinary output is essential for assessing kidney function and fluid balance, but it does not directly reflect the impact of a blood transfusion.

D) Correct. Monitoring the hemoglobin level is crucial to determine if the blood transfusion has been effective in increasing the client's red blood cell count and improving oxygen-carrying capacity.

A. Excessive production of platelets. B. Inadequate production of clotting factors. C. Uncontrolled activation of the clotting cascade. D. Decreased platelet count.

Correct Answer is C

Explanation

A) Incorrect. In DIC, platelet consumption and depletion occur due to widespread clot formation, leading to a decreased platelet count.

B) Incorrect. While inadequate production of clotting factors could lead to bleeding disorders, DIC is characterized by uncontrolled activation of the clotting cascade, leading to excessive clot formation initially, followed by consumption of clotting factors and increased bleeding.

C) Correct. DIC is a serious condition in which there is widespread activation of the clotting cascade, causing the formation of numerous small blood clots throughout the body. These clots can lead to organ dysfunction and excessive bleeding.

D) Incorrect. DIC is associated with decreased platelet count due to the consumption of platelets in the formation of multiple small clots.

Questions

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A client is experiencing postpartum hemorrhage. What should the nurse prioritize when providing care to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?

Correct Answer is D

Explanation

A nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). What should the nurse recognize as the underlying mechanism of DIC?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected gastrointestinal bleeding. Which stool characteristic is a common clinical manifestation of upper gastrointestinal bleeding?

A client is admitted to the emergency department following a motor vehicle accident. The nurse is aware that the client is at increased risk for hemorrhage due to which factor?

A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

A nurse is caring for a client with hemophilia. Which statement by the client indicates a correct understanding of the condition?

A client with hemophilia is admitted to the hospital with an acute joint bleed. What is the nurse's priority intervention for managing joint bleeding in this client?

A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

A nurse is providing education to a group of pregnant clients about the risk factors for postpartum hemorrhage. Which client statement indicates a need for further clarification?