A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.What action should the nurse take?
Obtain a specimen for a Kleihauer-Betke test.
Anticipate a prescription for misoprostol.
Administer betamethasone IM.
Avoid performing sterile vaginal examinations.
The Correct Answer is B
Choice A rationale
Obtaining a specimen for a Kleihauer-Betke test is not the immediate action to take when a patient is experiencing a large amount of vaginal bleeding due to uterine atony.
Choice B rationale
Misoprostol is a medication that can be used to treat uterine atony. It helps to contract the uterus and reduce bleeding.
Choice C rationale
Administering betamethasone IM is not the appropriate action. Betamethasone is a steroid medication often used to mature the lungs of a fetus at risk of premature birth, not to treat uterine atony.
Choice D rationale
Avoiding sterile vaginal examinations is not the immediate action to take when a patient is experiencing a large amount of vaginal bleeding due to uterine atony.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Asking if the client’s back labor has improved is a good way to evaluate the effectiveness of the hands-and-knees position. This position has been shown to reduce persistent back pain in laboring women with a fetus in the occipitoposterior position.
Choice B rationale
Feeling relief from pelvic pressure is not specifically associated with the hands-and-knees position.
Choice C rationale
Lessening of suprapubic pain is not specifically associated with the hands-and-knees position.
Choice D rationale
Contractions feeling further apart is not a specific outcome associated with the hands-and- knees position.
Correct Answer is C
Explanation
Choice A rationale
While taking a Vitamin C supplement can be beneficial for overall health, it is not specific to assessing the dietary intake of a vegan client at 6 weeks of gestation.
Choice B rationale
Asking when the client last ate meat is not relevant for a vegan, as vegans do not consume meat.
Choice C rationale
Asking about the client’s daily protein intake is important. Vegans need to ensure they are getting enough protein from plant-based sources, as they do not consume animal products.
Choice D rationale
Asking if the client has considered eating shellfish is not appropriate for a vegan, as vegans do not consume any animal products, including shellfish.
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