A nurse is assisting in the care of a client who had a vaginal birth yesterday, is not breastfeeding, and had no perineal lacerations. The client was given ibuprofen 1 hr ago.
Which of the following outcomes should the nurse identify as an indication that the medication achieved the desired effect?
Decrease in swelling in the extremities.
Decrease in discomfort from contractions.
Decrease in milk production.
Decrease in amount of lochia and passage of clots.
The Correct Answer is B
Choice A rationale
While ibuprofen can reduce general inflammation, its primary use in the postpartum period is not aimed at reducing swelling in the extremities, making this a less relevant outcome for the medication's effectiveness.
Choice B rationale
Ibuprofen is an effective analgesic for reducing discomfort from uterine contractions, known as afterpains, which occur as the uterus involutes post-delivery. A decrease in this type of discomfort indicates the medication has achieved its desired effect.
Choice C rationale
Ibuprofen does not have an effect on milk production; therefore, a decrease in milk production is not an expected or desired outcome of administering this medication to a postpartum client.
Choice D rationale
Ibuprofen is not intended to reduce lochia or the passage of clots. These are normal postpartum processes, and their reduction would not be an expected outcome of ibuprofen administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Checking the client's temperature every 4 hours is important to monitor for infection but is not the primary action during the active phase of labor following an amniotomy.
Choice B rationale
Encouraging the client to empty the bladder every 2 hours helps prevent bladder distention, which can impede the descent of the baby and contribute to labor progress.
Choice C rationale
Bearing down with each contraction is advised during the second stage of labor, not the active phase of the first stage.
Choice D rationale
Maintaining the client in the lithotomy position is not necessary throughout labor and can be uncomfortable; mobility and changing positions are encouraged.
Correct Answer is B
Explanation
Choice A rationale
History of cocaine use increases the risk for placental abruption but is not a direct risk factor for ectopic pregnancy.
Choice B rationale
History of pelvic inflammatory disease (PID) is a significant risk factor for ectopic pregnancy due to the damage and scarring it can cause to the fallopian tubes, leading to implantation outside the uterus.
Choice C rationale
History of three previous cesarean births increases the risk of uterine rupture or placenta previa but not specifically ectopic pregnancy.
Choice D rationale
History of hypertension is not directly related to the risk of ectopic pregnancy; it is more associated with complications like preeclampsia and gestational hypertension.
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