The nurse assesses a postpartum patient's discharge as being moderate in amount. How should the nurse document the appearance of the lochia?
Lochia alba
lochia rubra
Lochie serosa
Lochia normalia
The Correct Answer is B
A. Lochia alba: Lochia alba is a whitish or pale yellow discharge that occurs later in the postpartum period, usually after 10 to 14 days. It consists mainly of leukocytes and epithelial cells rather than blood. Moderate amounts of bloody discharge would not be expected at this stage.
B. Lochia rubra: Lochia rubra is dark red and bloody in appearance and is expected during the first 3 to 4 days after delivery. A moderate amount of discharge with a blood-like color fits this description. This finding is consistent with normal early postpartum uterine involution.
C. Lochia serosa: Lochia serosa appears pinkish-brown and typically occurs around days 4 to 10 postpartum. It contains serous fluid and fewer red blood cells than lochia rubra. The color and timing would not match a moderate amount of fresh blood.
D. Lochia normalia: Lochia normalia is not a recognized clinical term used to describe postpartum uterine discharge. Postpartum lochia is classified as rubra, serosa, or alba based on color and timing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assess deep tendon reflexes: Magnesium sulfate depresses neuromuscular excitability, which helps prevent seizures. Monitoring deep tendon reflexes, particularly the patellar reflex, allows the nurse to evaluate therapeutic levels and detect early signs of magnesium toxicity, indicating whether the drug is effectively controlling neuromuscular activity.
B. Assess for edema: Edema is a common symptom of preeclampsia but does not directly reflect the effectiveness of magnesium sulfate in preventing seizures. While important for overall assessment, it is not a reliable indicator of seizure control.
C. Assess the client’s mucous membranes: Monitoring mucous membranes helps evaluate hydration status but does not provide information regarding the effectiveness of magnesium sulfate therapy in seizure prevention.
D. Assess the client’s skin turgor: Skin turgor is a measure of fluid status and hydration but does not indicate the therapeutic effect of magnesium sulfate on seizure control in clients with preeclampsia.
Correct Answer is ["17"]
Explanation
Ordered Dose: 17 units
Available Concentration: 100 units/mL
Since insulin is dosed in units, the prescribed dose directly equals the number of units to administer
Units to administer = 17 units
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