A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Apply elastic stockings before the client gets out of bed.

Apply warm, moist packs to the client's lower legs.

Have the client ambulate as often as possible.

Administer NSAIDs every 4 to 6 hours.

Answer and Explanation

The Correct Answer is C

A: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

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Correct Answer is ["A","B","D"]

Explanation

A. Correct. Large for gestational age (LGA. infants may have a higher risk of birth injuries, including ecchymosis (bruising) due to their size.
B. Correct. Encouraging breastfeeding is important for all newborns, including those who are large for gestational age.
C. This action is not specifically related to caring for a newborn who is large for gestational age. Meconium may be collected for other reasons, but it is not a priority in this situation.
D. Correct. LGA infants are at increased risk for hypoglycemia due to maternal gestational diabetes. Monitoring blood glucose levels is important.
E. This action is not typically indicated for newborns who are large for gestational age. It is important to focus on monitoring and providing supportive care unless there arespecific medical indications for a blood transfusion.

A. 2+ ketonuria B. 1.030 urine specific gravity C. Hct 38% D. Fasting blood glucose 70 mg/dL

Correct Answer is A

Explanation

A. 2+ ketonuria indicates an elevated level of ketones in the urine, which can be a sign of inadequate nutrition or metabolism. This should be reported to the provider for further evaluation.
B. A urine specific gravity of 1.030 is within normal range during pregnancy.
C. A hematocrit (Hct) of 38% is within the normal range for a pregnant individual.
D. A fasting blood glucose level of 70 mg/dL is within the normal range.

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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is reviewing the laboratory data for a client who is at her first prenatal visit. The client is at 10 weeks of gestation. Which of the following manifestations should the nurse report to the provider?

Correct Answer is A

Explanation

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