A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Which of the following findings should the nurse expect?

Cool, clammy skin.

Urinary output 30 mL/hr.

Bounding pulses.

Respiratory rate 18/min.

Answer and Explanation

The Correct Answer is A

A client who is postpartum and experiencing hypovolemic shock would have cool, clammy skin.
This is because hypovolemic shock severely limits the body’s ability to get blood
to all of its organs.

Choice B is not correct because a urinary output of 30 mL/hr is within the
normal range.
Choice C is not correct because a client experiencing hypovolemic shock would have a weak pulse, not a bounding one.
Choice D is not correct because a respiratory rate of 18/min is within the normal range, while a client experiencing hypovolemic shock would have an increased respiratory rate.

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Correct Answer is C

Explanation

Rubella vaccine is a live atenuated vaccine and women should avoid pregnancy for at least 28 days after receiving the vaccine.

Choice A is incorrect because the rubella vaccine is given as a single dose, not a series of three immunizations.
Choice B is incorrect because joint pain is a common side eﬀect of the rubella vaccine and does not need to be reported immediately to the provider.
Choice D is incorrect because breastfeeding is not contraindicated following rubella immunization.

A. Cover the umbilical cord with a sterile saline saturated towel. B. Perform a vaginal examination by applying upward pressure on the presenting part. C. Administer oxygen via non-rebreather mask at 8 L/min. D. Initiate an infusion of IV ﬂuids for the client.

Correct Answer is B

Explanation

If a prolapsed cord is identiﬁed, the nurse should perform a vaginal examination and ensure the presenting part is pushed upwards to relieve pressure on the cord.

Choice A) is not correct because while it is important to cover the cord with a sterile saline saturated towel if it has prolapsed externally 1, it is not the next action after calling for assistance and notifying the provider.

Choice C) is not correct because administering oxygen via non-rebreather mask at 8 L/min is not mentioned as an immediate intervention for a prolapsed cord .

Choice D) is not correct because initiating an infusion of IV ﬂuids for the client is not mentioned as an immediate intervention for a prolapsed cord .

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A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Which of the following findings should the nurse expect?