The nurse continues to care for the client.
Click to highlight the findings that indicate improvement in the client's condition. To deselect a finding, click on the finding again.
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Assessment |
Findings |
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Nurses' Notes |
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge. Membranes intact No uterine contractions noted. FHR baseline 138, minimal variability. No further reports of burning with urination. |
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Laboratory Results |
WBC 12, 000/mm3 (5000 to 10000/mm3) Platelet count 188000/mm3 (150000 to 400000/mm3) |
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Vital Signs |
Temperature 37.1°C (98.7°F) Blood pressure 120/78 mmHg |
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge
Membranes intact
No uterine contractions noted
FHR baseline 138, minimal variability
No further reports of burning with urination
WBC 12, 000/mm3 (5000 to 10000/mm3)
Platelet count 188000/mm3 (150000 to 400000/mm3)
Temperature 37.1<strong>°</strong>C (98.7<strong>°</strong>F)
Blood pressure 120/78 mmHg
The Correct Answer is ["A","C","E","F","H","I"]
Nurses' Notes:
Client rates lower back pain a 0 on a scale from 0 to 10: Indicates pain resolution, suggesting improvement.
No reports of vaginal discharge: Suggests stabilization and no signs of labor progression.
No uterine contractions noted: Indicates that preterm labor is resolving.
No further reports of burning with urination: Suggests that the urinary tract infection (UTI) is improving.
Vital Signs:
Temperature 37.1°C (98.7°F): Fever has resolved, indicating response to antibiotics.
Blood pressure 120/78 mmHg: Remains stable within normal limits.
Laboratory Results:
WBC 12,000/mm³ (previously 16,000/mm³): Decreasing WBC count suggests resolution of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect – Swallowing precautions are important for safety but do not primarily address communication among staff.
B. Incorrect – Documenting in the medical record is essential but does not ensure real-time communication between team members.
C. Correct – Interdisciplinary team meetings allow for effective collaboration and development of a comprehensive care plan.
D. Incorrect – Nurses’ notes are valuable for documentation but do not actively promote communication among all team members.
Correct Answer is C
Explanation
A. Revising policies is important but should be based on data from an investigation.
B. Meeting with providers is important but should be based on data from an investigation.
C. The first step in quality improvement is to assess the underlying cause of the issue (e.g., poor hygiene, prolonged catheter use).
D. Training is necessary but should be tailored based on identified problem areas.
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