Exhibits
The nurse has reviewed the client's chart. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that this client is due to .
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Hemorrhaging:
The client exhibits signs of excessive vaginal bleeding, as indicated by a boggy fundus and saturated pads and sheets beneath her. The significant blood loss is concerning, especially following a 4th-degree laceration and the recent delivery.
Uterine Atony:
The fundus is noted to be boggy (soft) at multiple assessments, which is a key indicator of uterine atony. This condition is the most common cause of early postpartum hemorrhage and occurs when the uterus fails to contract effectively after delivery, leading to excessive blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Determining weight loss can be useful but does not directly address the sleep issue the client is experiencing.
B. While it’s true that lifestyle changes can take time to show effects, this response does not help the client understand or address their sleep difficulties.
C. Encouraging daily exercise is beneficial but may not be appropriate if the client is already exercising; quality and timing of exercise should also be considered.
D. Asking for a description of the exercise schedule can help the nurse assess the type and timing of exercise, which may be relevant to the client's sleep problems.
Correct Answer is D
Explanation
A. Client A's oxygen saturation of 94% is within an acceptable range for someone with emphysema, and increasing oxygen may not be necessary at this time.
B. Moving Client D into an isolation room may not be necessary based solely on the elevated WBC count, which could indicate an infection but does not mandate isolation without additional symptoms.
C. Client C’s potassium level of 3.8 mEq/L is within the normal range, so there is no urgent need to add a banana.
D. Verifying that Client B has two units of packed cells available is critical due to the low postoperative hemoglobin level, indicating a need for potential transfusion.
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