A postparturient patient with endometritis may present with which of the following manifestations?
Fever, tachycardia, abdominal pain, and purulent discharge.
Hypertension, headache, blurry vision, and chest pain.
Hyperglycemia, dehydration, and frequent urination.
Hypothermia, bradycardia, and jaundice.
The Correct Answer is A
Choice A rationale
Fever, tachycardia, abdominal pain, and purulent discharge are classic signs of endometritis, which is a postpartum infection of the uterine lining, indicating an inflammatory response to bacterial invasion.
Choice B rationale
Hypertension, headache, blurry vision, and chest pain are symptoms more indicative of preeclampsia or hypertensive disorders, not endometritis, which primarily affects the reproductive system.
Choice C rationale
Hyperglycemia, dehydration, and frequent urination are indicative of diabetes mellitus, particularly in cases of diabetic ketoacidosis, not associated with postpartum uterine infections.
Choice D rationale
Hypothermia, bradycardia, and jaundice suggest liver dysfunction or severe infections leading to sepsis, but these are not primary manifestations of endometritis which involves local uterine infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}
Explanation
- Ultrasound Result
- Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
- Caffeine Intake
- Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
- Job (Cashier)
- Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
- Environmental: The physical demands and environment of the job can increase the risk for complications.
- Pets (Cats)
- Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
- Medical History (Anemia)
- Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.
Correct Answer is A
Explanation
Choice A rationale
Anemia in pregnancy requires increased iron intake to support hemoglobin production, essential for oxygen transport in the blood. Iron-rich foods, such as red meat and leafy greens, are recommended.
Choice B rationale
Decreasing protein intake is counterproductive for anemic pregnant clients. Protein is vital for overall health and fetal development, and adequate intake should be maintained.
Choice C rationale
Calcium-rich foods are important but do not directly address anemia. They support bone health, and while necessary, they do not substitute the need for increased iron in anemic clients.
Choice D rationale
Vitamin C intake should be increased alongside iron-rich foods as it enhances iron absorption. However, increasing vitamin C alone does not suffice to correct anemia without adequate iron intake.
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