A nurse is assisting in the care of a client who had a vaginal birth yesterday, is not breastfeeding, and had no perineal lacerations. The client was given ibuprofen 1 hr ago.
Which of the following outcomes should the nurse identify as an indication that the medication achieved the desired effect?
Decrease in swelling in the extremities.
Decrease in discomfort from contractions.
Decrease in milk production.
Decrease in amount of lochia and passage of clots.
The Correct Answer is B
Choice A rationale
While ibuprofen can reduce general inflammation, its primary use in the postpartum period is not aimed at reducing swelling in the extremities, making this a less relevant outcome for the medication's effectiveness.
Choice B rationale
Ibuprofen is an effective analgesic for reducing discomfort from uterine contractions, known as afterpains, which occur as the uterus involutes post-delivery. A decrease in this type of discomfort indicates the medication has achieved its desired effect.
Choice C rationale
Ibuprofen does not have an effect on milk production; therefore, a decrease in milk production is not an expected or desired outcome of administering this medication to a postpartum client.
Choice D rationale
Ibuprofen is not intended to reduce lochia or the passage of clots. These are normal postpartum processes, and their reduction would not be an expected outcome of ibuprofen administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.
Choice B rationale
Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.
Choice C rationale
Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.
Choice D rationale
Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.
Correct Answer is B
Explanation
Choice A rationale
G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.
Choice B rationale
Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.
Choice C rationale
History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.
Choice D rationale
Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.