A nurse is caring for a client.

Exhibits

The nurse is caring for a client on the postpartum unit.

The nurse is caring for the client following an emergency cesarean birth. Which of the following findings indicate an improvement in the client's condition?

Select all that apply.

Hemoglobin

Heart rate

Pain level

Temperature

Vaginal bleeding

Blood pressure

Answer and Explanation

Correct Answer : B,C,E,F

A. Hemoglobin: Although an improvement in hemoglobin would be ideal, it may take more time to see a significant change after blood loss or transfusion. A rise in hemoglobin indicates that the body is recovering from blood loss, but it is not as immediate an indicator of improvement as other factors, such as heart rate or blood pressure stabilization.

B. Heart rate: A decrease in the heart rate toward the normal range (60-100 beats/min) indicates improvement in the client's condition. The initial heart rate of 120-128 beats/min (tachycardia) suggests the client may have been compensating for blood loss or pain. A more stable heart rate would suggest a response to treatment and improvement in their cardiovascular status.

C. Pain level: A reduction in pain score is an important indicator of recovery post-surgery. After an emergency cesarean birth, pain management is a critical aspect of recovery, and a reduction in pain intensity would suggest that the client is improving and responding well to pain management interventions.

D. Temperature: A normal temperature would suggest no infection or complications. However, temperature changes in the immediate postpartum period can be influenced by various factors (e.g., infection, hormonal changes, or recovery from surgery). It is not as immediate an indicator of recovery as heart rate or blood pressure.

E. Vaginal bleeding: A decrease in vaginal bleeding, especially after a cesarean, would indicate that bleeding is being effectively controlled and the uterus is contracting appropriately, reducing the risk of hemorrhage or complications like uterine atony.

F. Blood pressure: A return to normal blood pressure levels (e.g., closer to the pre-pregnancy baseline) would indicate that the client's circulatory status is stabilizing. The dropping blood pressure seen earlier (from 95/62 mm Hg to 85/48 mm Hg) indicated hypovolemic shock or a response to blood loss, so stabilization and an increase in blood pressure would be a positive sign.

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Correct Answer is D

Explanation

A. Hemoglobin and hematocrit are important but not the focus in Alzheimer’s care unless anemia is suspected.

B. Liver function tests are not typically monitored unless the client is on hepatotoxic medications.

C. Kidney function tests are essential if there are concerns about hydration or medication clearance but are not routine in Alzheimer's care.

D. Monitoring serum sodium and potassium is critical as imbalances can lead to confusion, agitation, and worsening cognitive symptoms.

A. Prepare a cool mist tent. B. Suction the child's oropharynx. C. Prepare to assist with intubation. D. Obtain a throat culture.

Correct Answer is C

Explanation

A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.

B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.

C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.

D. Obtaining a throat culture is contraindicated as it may trigger airway closure.

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A nurse is caring for a client. Exhibits The nurse is caring for a client on the postpartum unit. The nurse is caring for the client following an emergency cesarean birth. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A home nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan monitor?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse include in the plan nurse take?

Correct Answer is C

Explanation

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A nurse is caring for a client. Exhibits The nurse is caring for a client on the postpartum unit. The nurse is caring for the client following an emergency cesarean birth. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

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A nurse is caring for a client.

Exhibits

The nurse is caring for a client on the postpartum unit.

The nurse is caring for the client following an emergency cesarean birth. Which of the following findings indicate an improvement in the client's condition?

Select all that apply.