A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Which of the following actions should the nurse take first?
Collect hemoglobin and hematocrit levels.
Insert an indwelling urinary catheter.
Administer oxygen via face mask at 10 L/min.
Prepare the client to receive a plasma expander.
The Correct Answer is A
Choice A rationale:
The client is experiencing postpartum hemorrhage, and the nurse should first collect hemoglobin and hematocrit levels to assess the extent of blood loss.
Choice B rationale:
Inserting an indwelling urinary catheter is not the immediate priority. It may be done later to monitor fluid balance.
Choice C rationale:
Administering oxygen is important, but it’s not the first action. The nurse needs to assess the extent of blood loss first.
Choice D rationale:
Preparing the client to receive a plasma expander is important, but it’s not the first action. The nurse needs to assess the extent of blood loss first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Subcutaneous injections are not typically used for newborns due to their lack of subcutaneous fat.
Choice B rationale:
The vastus lateralis muscle is the preferred site for IM injections in newborns due to its size and location.
Choice C rationale:
The deltoid is not a recommended site for IM injections in newborns due to its small size.
Choice D rationale:
As mentioned earlier, subcutaneous injections are not typically used for newborns.
Correct Answer is A
Explanation
Choice A rationale:
Hypnosis can be beneficial if practiced during the prenatal period. It helps the woman to enter labor with a positive mindset and better control over pain.
Choice B rationale:
Hypnosis can indeed work for controlling pain associated with labor when practiced correctly.
Choice C rationale:
Synchronized breathing is not necessarily required during hypnosis. It’s more about focus and relaxation.
Choice D rationale:
Focusing on controlling body functions can be helpful during hypnosis, but it’s not the primary goal of hypnosis.
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