A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay.
Which of the following information should the nurse include in the teaching? (Select all that apply)
Increase fluid intake to at least 3 L per day
Increase iron-rich foods in the diet
Avoid strenuous activities for 6 weeks
Report any signs of infection, such as fever or foul-smelling lochia
Resume sexual intercourse as soon as desired
Correct Answer : B,D,E
The correct answer is choice B, D and E. The nurse should include the following information in the teaching:
• Increase iron-rich foods in the diet. This can help replenish the blood loss and prevent anemia.
• Report any signs of infection, such as fever or foul-smelling lochia. These can indicate a serious complication that needs immediate medical attention.
• Resume sexual intercourse as soon as desired. There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.
Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery. Fluid intake should be based on thirst and urine output.
Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage. The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
The correct answer is choice A, C, D and E. These medications are all uterotonic agents that can stimulate uterine contractions and reduce bleeding.
They act on different receptors in the uterus and have different side effects and contraindications.
Choice B is wrong because magnesium sulfate is a tocolytic agent that can relax uterine muscles and prevent preterm labor.
It is not indicated for postpartum hemorrhage and can worsen uterine atony.
Normal ranges for postpartum blood loss are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.
Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract adequately after delivery.
Risk factors include prolonged or rapid labor, overdistension of the uterus, multiparity, retained placenta, infection and anesthesia.
Correct Answer is ["A","B","C","E"]
Explanation
The correct answer is choices A, B, C, and E.These are all medications that can help contract the uterus and stop the bleeding caused by retained placental fragments.Oxytocin (Pitocin) is the most effective and commonly used uterotonic agent.Methylergonovine maleate (Methergine) and carboprost tromethamine (Hemabate) are alternative drugs that can be used if oxytocin is ineffective or unavailable.Misoprostol (Cytotec) is a prostaglandin analogue that can also help reduce blood loss.
Choice D is wrong because manual removal of placenta fragments is not an intervention that the nurse should anticipate.Manual removal of placenta fragments is a last resort option that can cause more bleeding and infection, and should only be performed by a skilled provider.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.