A nurse is collecting data from a client who is 2 days postpartum. Which of the following findings should alert the nurse to the possibility of a puerperal infection?

Upper abdominal pain

Bradycardia

Hypothermia

Foul-smelling lochia

Answer and Explanation

The Correct Answer is D

A.   Upper abdominal pain could indicate a variety of issues, including gastrointestinal upset or muscle soreness from labor, but it is not specific to a puerperal infection.
B.   Bradycardia (slow heart rate) is not typically associated with a puerperal infection.
C.   Hypothermia (low body temperature) is not a typical sign of a puerperal infection.
D.   Foul-smelling lochia can be indicative of an infection, as an unpleasant odor may be associated with bacterial growth in the uterine cavity. This is a concerning sign and should be further evaluated.

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Correct Answer is B

Explanation

A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin.
B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding.

Therefore, the client should be advised not to take oral contraceptives while on warfarin.

C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding.

D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2-week period.

A. "I plan to resume my exercise program in 24 hours." B. "I anticipate the cerclage will be removed in 10 weeks." C. "I will call the provider if I experience urinary frequency." D. "I will avoid sexual activity."

Correct Answer is D

Explanation

A. Resuming an exercise program within 24 hours after a cervical cerclage placement is not recommended, as it can put unnecessary strain on the cervix.
B. The cerclage is typically removed closer to the end of pregnancy, around 36-38 weeks, not at 10 weeks.
C. While urinary frequency can be a concern during pregnancy, it is not directly related to cervical cerclage placement.
D. Avoiding sexual activity is important after a cervical cerclage placement to reduce the risk of complications and to support the integrity of the cervix.

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A nurse is collecting data from a client who is 2 days postpartum. Which of the following findings should alert the nurse to the possibility of a puerperal infection?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and is scheduled for placement of a cervical cerclage. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is D

Explanation

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