A nurse is caring for the client.

Exhibits

Select the 5 findings that indicate the client's condition has improved.

Heart rate

Temperature

Lochia

Hgb

WBC count

Fundal height

Answer and Explanation

Correct Answer : A,B,C,E,F

A. Heart rate. The client’s heart rate decreased from 110/min on postpartum day 3 to 78/min on day 5, returning to normal resting range, which suggests improvement in systemic inflammation or infection, and better overall hemodynamic stability.
B. Temperature. The temperature has decreased from 38.6° C (101.5° F) to 37.1° C (98.9° F), which is within normal limits. This reduction is a key indicator of resolving infection or inflammation, especially considering the earlier febrile response.
C. Lochia. Lochia has improved from a moderate, foul-smelling, dark brown discharge to a small amount of brownish-red lochia with no odor, which suggests infection resolution and appropriate progression of postpartum uterine involution.
D. Hgb. The client’s hemoglobin dropped from 11.1 g/dL to 10 g/dL, which is below the normal postpartum range. This is likely due to ongoing recovery, recent surgery, and fluid shifts, but it does not indicate improvement and may require continued monitoring.
E. WBC count. The WBC count normalized from a significantly elevated 33,000/mm³ to 10,000/mm³, which is within the normal reference range. This is a strong sign that the infection or inflammatory response is resolving.
F. Fundal height. The fundus has decreased from 1 cm above the umbilicus on day 3 to 4 cm below on day 5, which is consistent with normal involution of the uterus during the postpartum period and is a positive sign of recovery.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Rubeola (measles). Rubeola is transmitted through airborne particles and requires airborne precautions, including the use of an N95 respirator and placement in a negative pressure room. Droplet precautions would not provide sufficient protection due to the small particle size and long-range transmission.
B. Varicella (chickenpox). Varicella requires both airborne and contact precautions because it spreads via airborne respiratory droplets and direct contact with lesions. A client with varicella must be isolated in a negative pressure room and healthcare workers should use full PPE.
C. Tuberculosis. Tuberculosis is caused by Mycobacterium tuberculosis and is spread through airborne droplet nuclei, which remain suspended in the air for extended periods. It requires airborne precautions, including an N95 respirator and isolation in a specialized room.
D. Pertussis (whooping cough). Pertussis is a highly contagious bacterial infection that spreads through large respiratory droplets during coughing or sneezing. Droplet precautions are required, which include wearing a surgical mask when within 3 feet of the client and practicing proper hand hygiene to prevent transmission.

A. "I will plan to spend time tanning between 10 a.m. and 2 p.m." B. "I will use an indoor tanning bed instead of going outside." C. "I will use sunblock with an SPF of 10 when I am outdoors." D. "I will apply sunscreen before and after swimming

Correct Answer is D

Explanation

A. "I will plan to spend time tanning between 10 a.m. and 2 p.m." UV radiation from the sun is strongest between 10 a.m. and 4 p.m., and sun exposure during this time significantly increases the risk of skin cancer. Outdoor activity should be minimized during peak hours.
B. "I will use an indoor tanning bed instead of going outside." Indoor tanning beds expose users to intense UV radiation, which also increases the risk of skin cancer. They are not a safer alternative to natural sunlight and should be avoided.
C. "I will use sunblock with an SPF of 10 when I am outdoors." SPF 10 provides minimal protection and is not adequate for skin cancer prevention. The recommended SPF is 30 or higher, applied generously and re-applied regularly.
D. "I will apply sunscreen before and after swimming." Sunscreen should be applied 15 to 30 minutes before sun exposure and re-applied every 2 hours, especially after swimming or sweating. This statement shows an understanding of proper sun protection practices.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for the client. Exhibits Select the 5 findings that indicate the client's condition has improved.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about infection control to a group of nurses. The nurse should identify which of the following diseases as requiring the implementation of droplet precautions?

Correct Answer is D

Explanation

A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is planning care for a client who has terminal cancer and is nearing the end of life. Which of the following interventions should the nurse include?

A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

The nurse is continuing to care for the client. Exhibits The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

A nurse is caring for a client who is at 38 weeks of gestation, is in active labor, and has ruptured membranes. Which of the following actions should the nurse take?

A nurse is teaching a client who has chronic migraines about a new prescription for sumatriptan. Which of the following statements should the nurse include in the teaching?

A nurse is assessing a client who is receiving morphine IV for pain. Which of the following findings should the nurse report to the provider first?

A nurse is teaching a client who has a history of genital herpes and is at 32 weeks of gestation. Which of the following statements should the nurse include in the teaching?

A nurse is caring for the client.

Exhibits

Select the 5 findings that indicate the client's condition has improved.