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

Temperature

Hgb

Heart rate

Fundal height

Answer and Explanation

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

Rationale:

A. Temperature: The client's temperature decreased from 38.6°C (101.5°F) to 37.1°C (98.9°F), indicating that the febrile response to infection has resolved. This trend supports the effectiveness of the antibiotic therapy initiated on postpartum day 3.

B. Hgb: Hemoglobin dropped from 11.1 to 10 g/dL, which may reflect continued postpartum blood loss or hemodilution. This decline does not indicate improvement and may require monitoring for worsening anemia.

C. Heart rate; Heart rate improved from 110/min to 78/min, demonstrating reduced physiologic stress and better cardiovascular stability. This aligns with the drop in temperature and suggests systemic recovery from infection.

D. Fundal height; The fundus decreased from 1 cm above the umbilicus to 4 cm below, showing normal postpartum involution. A firm, midline uterus without excessive tenderness also supports clinical improvement.

E. Lochia: Lochia changed from moderate, dark brown, and foul-smelling to a small amount of brownish-red with no odor, which suggests resolving endometrial infection. This progression is typical in healthy postpartum recovery.

F. WBC count: The WBC count normalized from 33,000/mm³ to 10,000/mm³, reflecting resolution of systemic inflammation or infection. This is consistent with decreasing temperature and improved vital signs.

Nursing Test Bank

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Correct Answer is A

Explanation

Rationale:

A. Use a powered lift to transfer the client: When a client is unable to assist and weighs significantly over standard lifting limits, a powered mechanical lift is the safest and most appropriate method. It reduces the risk of musculoskeletal injury to staff and ensures safe, controlled client movement.

B. Wrap their arms under the client's axilla to transfer the client: This manual lifting method can cause harm to both the nurse and the client. It increases the risk of shoulder injury for the client and back strain for the nurse, especially when the client is immobile and heavy.

C. Use a gait belt to transfer the client: Gait belts are used for clients who can bear some weight and assist in the transfer. Since this client cannot assist, a gait belt is insufficient and may result in injury or unsafe movement.

D. Use a sliding board to transfer the client: Sliding boards are typically used when clients have upper body strength and can assist in shifting their weight. For a fully dependent client of this size, it is not a safe or effective method without mechanical assistance.

A. Alkaline phosphatase B. Amylase C. Creatinine D. Bilirubin

Correct Answer is C

Explanation

Rationale:

A. Alkaline phosphatase: This enzyme is typically used to assess liver or bone disorders, not renal function. Although some values may rise due to medications or illness, it is not a primary marker for kidney health in transplant clients.

B. Amylase: Amylase is used to evaluate pancreatic function and is not directly related to kidney function. It may be elevated in pancreatitis or abdominal conditions, but it does not provide information about renal performance.

C. Creatinine: Serum creatinine is a key indicator of renal function and is commonly monitored alongside BUN in clients taking nephrotoxic drugs like cyclosporine. Elevations may signal impaired kidney function or transplant rejection.

D. Bilirubin: Bilirubin reflects liver function and bile metabolism rather than kidney function. Although important in overall health assessment, it is not used to evaluate renal function in clients post-transplant.

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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

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Correct Answer is A

Explanation

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Correct Answer is C

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.