A nurse is assisting in the care of a client who is 4 days postpartum and has endometritis. Which of the following interventions should the nurse anticipate will be included in the plan of care?

Cleanse the perineum with 0.9% sodium chloride after bowel movements

Obtain serial blood cultures.

Insert and maintain an indwelling urinary catheter.

Encourage the use of a sitz bath twice a day,

Answer and Explanation

The Correct Answer is B

Rationale:

A. Cleanse the perineum with 0.9% sodium chloride after bowel movements: While perineal hygiene is important postpartum, cleansing with normal saline is more routine care and does not specifically target endometritis management.

B. Obtain serial blood cultures: Endometritis is a uterine infection that can lead to bacteremia or sepsis. Serial blood cultures help identify the causative organism and guide antibiotic therapy.

C. Insert and maintain an indwelling urinary catheter: Indwelling catheters increase the risk of urinary tract infections and are not routinely used unless there is urinary retention or other specific indications.

D. Encourage the use of a sitz bath twice a day: Sitz baths promote perineal comfort and hygiene but do not directly treat uterine infections like endometritis. They may be recommended for perineal pain but are not primary treatment for endometritis.

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Correct Answer is B

Explanation

Rationale:

A. Occupational therapist: An occupational therapist helps clients regain skills for daily living and can assess driving ability, but they are not typically responsible for arranging transportation or addressing confidence-related psychosocial issues. A referral may follow but is not the first step here.

B. Social worker: A social worker assists clients with coping and resource coordination, including transportation services, community support, and addressing emotional or confidence barriers. This makes them the most appropriate referral when a client is unsure about attending follow-up care.

C. Primary care provider: While the PCP oversees general medical care and referrals, they are not responsible for coordinating transportation. The nurse can directly initiate a more appropriate referral rather than relying on the PCP for this non-medical concern.

D. Physical therapist: A physical therapist focuses on improving physical function, mobility, and strength. They do not handle transportation issues or confidence concerns related to attending appointments, making them less relevant in this context.

A. Heparin 5000 U subcutaneous every 8 hr B. M50, 10g PO delly C. Lorazepam 0.5 mg PO PRN at bedtime D. Doxazosin 5 mg PO at bedtime

Correct Answer is D

Explanation

Rationale:

A. Heparin 5000 U subcutaneous every 8 hr: Using "U" for units can be misread as zero, potentially causing a tenfold overdose. The correct transcription uses the full word "units" to prevent errors.

B. M50, 10g PO delly: This prescription contains multiple errors: "M50" is unclear, "10g" may be excessive or incorrect dosing, and "delly" is an incorrect abbreviation for daily. This transcription is inaccurate and unsafe.

C. Lorazepam 0.5 mg PO PRN at bedtime: Although mostly correct, "PRN at bedtime" can be confusing. It is clearer to specify "PRN for anxiety at bedtime" or "PRN as needed at bedtime" to clarify the indication and timing.

D. Doxazosin 5 mg PO at bedtime: This transcription is clear, uses accepted abbreviations, specifies route and time, and includes no dangerous abbreviations, making it an accurate and safe prescription transcription.

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A nurse is assisting in the care of a client who is 4 days postpartum and has endometritis. Which of the following interventions should the nurse anticipate will be included in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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