The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Blood pressure: 120/80.

Pain rating of 4 on a scale of 1 to 10.

Pulse rate: 80.

Respiratory rate: 8.

Answer and Explanation

The Correct Answer is D

The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side eﬀect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.

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Correct Answer is A

Explanation

The nurse should instruct the client to include more whole grains in their diet and drink more water daily to improve their inconsistent fecal elimination pattern. Whole grains are high in fiber which can help regulate bowel movements and drinking more water can help keep stools soft and easy to pass ¹. Using enemas as desired is not a recommended solution for long-term management of inconsistent fecal elimination patterns. It is important for the client to consult with their healthcare provider for personalized advice and treatment options.

A. Encourage his daughter to prepare food at home and bring it to the client. B. Provide bland meals. C. Provide distractions while the client is fed so that he will eat more. D. Serve large meals and encourage the client to eat as much as possible.

Correct Answer is A

Explanation

The nurse should implement the measure of encouraging the client's daughter to prepare food at home and bring it to the client. This can help improve the client's nutritional intake by providing familiar and appetizing meals that may be more appealing to the client than hospital food. It is important for the nurse to work with the client and their family to identify strategies that can help improve the client's nutritional intake during their hospitalization.

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The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a history of an inconsistent fecal elimination pattern. What should the nurse instruct this client to improve this health problem?

Correct Answer is A

Explanation

The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?

Correct Answer is A

Explanation

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