A nurse is collecting data from a client who is 2 days postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?

Left calf tenderness

Moderate lochia rubra

Urine output of 3,000 mL

Breast engorgement

Answer and Explanation

The Correct Answer is A

A.   Left calf tenderness can be a sign of deep vein thrombosis (DVT), which is a serious postoperative complication and should be reported to the provider.
B.   Moderate lochia rubra is an expected finding after a cesarean birth.
C.   A urine output of 3,000 mL is within normal range and does not warrant immediate reporting to the provider.
D.   Breast engorgement is an expected finding in the postpartum period, especially if the client is not breastfeeding. It does not require immediate reporting.

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Correct Answer is A

Explanation

A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.

B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.

C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.

D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.

A. Reduce odors with an exhaust fan when cooking. B. Eat foods at warm temperatures. C. Increase fluids early in the day when nauseated. D. Brush teeth immediately after meals. E. D: Brushing teeth after meals is important for oral hygiene but may not have a significant impact on reducing nausea.

Correct Answer is A

Explanation

A: Minimizing strong odors can help reduce nausea, especially when preparing or cooking food.

B: Eating foods at warm temperatures may be helpful, but it is not as directly related to reducing nausea as minimizing strong odors.
C: Increasing fluids can be helpful, but it is not specifically related to reducing nausea early in the day.
D: Brushing teeth after meals is important for oral hygiene but may not have a significant impact on reducing nausea.

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A nurse is collecting data from a client who is 2 days postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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