A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?

Administer misoprostol vaginally.

Administer acetaminophen orally.

Prepare the client for placement of an intrauterine pressure catheter.

Recheck the client's temperature in 2 hr.

Answer and Explanation

The Correct Answer is B

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

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Correct Answer is C

Explanation

A full bladder can displace the uterus and cause it to deviate to one side.
Choice A is not correct because a temperature of 37.7° C (100° F) is within the normal range for a postpartum client.
Choice B is not correct because the client’s milk production is not related to the findings noted by the nurse.
Choice D is not correct because there is no indication that the client needs an increase in IV fluids.

A. Apply a pelvic girdle. B. Place the client in a supine position. C. Elevate the head of the bed. D. Elevate the foot of the bed.

Correct Answer is C

Explanation

Elevating the head of the bed can help to reduce pressure on the cervical spine and promote comfort for the client.
Choice A is not correct because a pelvic girdle is not used with halo traction.
Choice B is not correct because placing the client in a supine position can increase pressure on the cervical spine.
Choice D is not correct because elevating the foot of the bed would not provide any benefit for a client in halo traction.

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F). After notifying the provider, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F); pulse rate 88/min; respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is C

Explanation

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?