A nurse is caring for the client.

Exhibits

Select the 5 findings that indicate the client's condition has improved.

Heart rate

Temperature

Lochia

Hgb

WBC count

Fundal height

Answer and Explanation

Correct Answer : A,B,C,E,F

A. Heart rate. The client’s heart rate decreased from 110/min on postpartum day 3 to 78/min on day 5, returning to normal resting range, which suggests improvement in systemic inflammation or infection, and better overall hemodynamic stability.
B. Temperature. The temperature has decreased from 38.6° C (101.5° F) to 37.1° C (98.9° F), which is within normal limits. This reduction is a key indicator of resolving infection or inflammation, especially considering the earlier febrile response.
C. Lochia. Lochia has improved from a moderate, foul-smelling, dark brown discharge to a small amount of brownish-red lochia with no odor, which suggests infection resolution and appropriate progression of postpartum uterine involution.
D. Hgb. The client’s hemoglobin dropped from 11.1 g/dL to 10 g/dL, which is below the normal postpartum range. This is likely due to ongoing recovery, recent surgery, and fluid shifts, but it does not indicate improvement and may require continued monitoring.
E. WBC count. The WBC count normalized from a significantly elevated 33,000/mm³ to 10,000/mm³, which is within the normal reference range. This is a strong sign that the infection or inflammatory response is resolving.
F. Fundal height. The fundus has decreased from 1 cm above the umbilicus on day 3 to 4 cm below on day 5, which is consistent with normal involution of the uterus during the postpartum period and is a positive sign of recovery.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Prolonged rupture of membranes: Rupture of membranes lasting longer than 18 hours increases the risk of ascending bacterial infection, leading to conditions such as endometritis. This is a known risk factor for postpartum infection, especially following cesarean delivery.
Polyhydramnios: An excessive amount of amniotic fluid overdistends the uterus, which can impair its ability to contract effectively postpartum, making uterine atony more likely. Atony can lead to increased bleeding or retained lochia.
Prenatal anemia: While not directly causing infection, anemia impairs immune function, increasing a person's susceptibility to postpartum infections. It can also worsen recovery from infections or surgical wounds.
High parity: Multiple prior pregnancies stretch the uterus over time, reducing myometrial tone, which predisposes to uterine atony. This makes it harder for the uterus to contract adequately after delivery, increasing the risk for hemorrhage or subinvolution.

A. Encourage a passive communication style. B. Publicly confront coworkers when conflict arises. C. Establish a strong employee code of conduct D. Focus on self-care

Correct Answer is D

Explanation

A. Encourage a passive communication style. Passive communication can lead to unresolved stress and burnout, as it prevents individuals from expressing their needs or concerns effectively. It is not a recommended strategy for managing compassion fatigue.
B. Publicly confront coworkers when conflict arises. Public confrontation can escalate tension and create a hostile work environment, which contributes to stress rather than alleviating it. Conflict should be addressed professionally and privately.
C. Establish a strong employee code of conduct. While a code of conduct is important for maintaining professional behavior, it does not directly address the emotional toll of compassion fatigue or promote personal well-being among staff.
D. Focus on self-care. Self-care is essential in preventing and managing compassion fatigue, which results from the emotional demands of caring for others. Encouraging activities that promote emotional, physical, and mental well-being helps staff maintain resilience and avoid burnout.

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A nurse is caring for the client. Exhibits Select the 5 findings that indicate the client's condition has improved.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

A nurse is teaching a newly licensed nurse about staff safety issues related to compassion fatigue. Which of the following information should the nurse include in the discussion?

Correct Answer is D

Explanation

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A nurse is caring for the client.

Exhibits

Select the 5 findings that indicate the client's condition has improved.