A nurse is assisting with the care of a client who gave birth.
After review of the medical record of the client, the nurse notes concerning data collection findings.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition:
Uterine atony
Boggy uterus, heavy bleeding, fundus responds to massage but returns to boggy state.
Actions to Take:
Massage fundus.
First-line measure to stimulate contraction and reduce bleeding.
Administer IV oxytocin.
Oxytocin promotes uterine contractions to reduce bleeding.
Parameters to Monitor:
Amount of lochia.
Helps assess ongoing blood loss.
Urine output.
Indicates perfusion status and potential hypovolemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Raise the four side rails on the client's bed:
Raising all side rails can be considered a form of restraint and increase the risk of injury if the client attempts to climb over.
B. Encourage the client to wear socks when ambulating:
Non-slip footwear is recommended. Plain socks can lead to slipping and increased fall risk.
C. Position the client's bedside table at the foot of the bed:
This may lead the client to overreach or get out of bed unnecessarily, increasing fall risk.
D. Place the client's bed in the low position:
Keeping the bed in the lowest position helps reduce injury if a fall occurs and improves safety.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A,B"}}
Explanation
Lanugo (fine hair) is a classic sign of anorexia due to malnutrition.
Disturbance in body image
Both disorders involve distorted body image, even if the behaviors differ.
Binge eating behavior
Binge eating is characteristic of bulimia, often followed by purging.
Very low weight
Significant underweight is typical in anorexia, while bulimic individuals are often of normal weight.
Peripheral edema
Can occur in both due to malnutrition or purging, especially from electrolyte imbalances or refeeding syndrome.
Self-induced vomiting
Vomiting is a hallmark behavior of bulimia, not typically anorexia unless it's binge-purge type.
Rigorous exercise regimen
Compensatory over-exercising can occur in both disorders as a way to control weight.
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