A nurse is caring for the client.

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

WBC count

Heart rate

Fundal height

Temperature

Hgb

Lochia

Answer and Explanation

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

A. WBC count: The client’s WBC count decreased from 33,000/mm³ to 10,000/mm³, returning to the expected postpartum reference range. This decline indicates resolution of the infectious or inflammatory process, consistent with effective antibiotic therapy for postpartum infection such as endometritis.

B. Heart rate: The heart rate decreased from tachycardic values (104–110/min) to 78/min, which is within normal limits. Resolution of tachycardia suggests improvement in systemic stress, infection, and overall hemodynamic stability.

C. Fundal height: The fundus progressed from being above the umbilicus to 4 cm below the umbilicus, demonstrating appropriate uterine involution. This finding reflects improved uterine tone and reduced risk of postpartum hemorrhage or ongoing uterine infection.

D. Temperature: The client’s temperature normalized from febrile readings (38.2–38.6°C) to 37.1°C. Resolution of fever is a key indicator of infection control and clinical improvement following antimicrobial treatment.

E. Hgb: Hemoglobin decreased from 11.1 g/dL to 10 g/dL, which does not indicate improvement. This trend suggests ongoing physiologic postpartum blood loss or dilution and does not reflect recovery.

F. Lochia: Lochia changed from dark brown with foul odor to a small amount of brownish-red lochia without odor. This improvement indicates resolution of uterine infection and normalization of postpartum uterine discharge.

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Correct Answer is D

Explanation

A. Position the client's knees slightly higher than the hips when up in a chair: Elevating the knees above the hip can increase the risk of hip flexion beyond 90°, which may place stress on the prosthesis and increase the risk of dislocation. This position should be avoided postoperatively.

B. Raise the head of the client's bed to a high-Fowler's position: High-Fowler’s positioning can lead to excessive hip flexion, which increases the risk of prosthetic dislocation. Proper positioning usually limits hip flexion to less than 90°.

C. Elevate the client's affected leg on a pillow when in bed: Placing a pillow under the affected leg can cause internal rotation or hip flexion, both of which increase dislocation risk. Only neutral positioning of the leg is recommended.

D. Keep an abduction pillow between the client's legs: An abduction pillow maintains the hips in proper alignment and prevents adduction across the midline, which is critical for reducing the risk of dislocation following total hip arthroplasty.

A. Client states, "I'm nauseated all the time B. I've been a little constipated, but it's not too bad C. Abdomen without tenderness on palpation D. Bowel sounds hypoactive. E. Oral mucous membranes sticky F. Also reports they are urinating less and that urine is dark yellow and odorous G. No edema H. Blood pressure 102/66 mm Hg I. Urine noted to be dark yellow and concentrated

Correct Answer is ["A","D","E","F","H","I"]

Explanation

Rationale for correct choices

• Gastrointestinal: Persistent nausea and frequent vomiting in early pregnancy can lead to dehydration, electrolyte imbalance, and malnutrition. Hypoactive bowel sounds and dry mucous membranes further suggest fluid deficit and possible electrolyte disturbances. Reporting these findings allows the provider to assess severity and initiate interventions.

• Genitourinary: Oliguria and dark, concentrated urine indicate potential dehydration, which can exacerbate nausea and vomiting and compromise kidney function. Early reporting is critical to prevent complications such as acute kidney injury.

• Cardiovascular: The relative hypotension as compared to the baseline blood pressuremay reflect compensatory tachycardia due to dehydration or volume depletion. These vital sign changes warrant reporting because they help the provider assess hemodynamic stability and guide fluid management.

Rationale for incorrect findings:

• Constipation and abdominal palpation without tenderness: Mild constipation without abdominal tenderness is common in early pregnancy due to hormonal changes and is not immediately concerning. It can be managed with dietary fiber, hydration, and gentle activity.

• No edema: The absence of edema indicates no overt fluid retention or preeclampsia at this stage. While monitoring continues, this finding does not require urgent reporting.

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Body System	Findings
Gastrointestinal	Client states, "I'm nauseated all the time. I vomit a few times a day, too." Client states, "I've been a little constipated, but it's not too bad." Abdomen without tenderness on palpation. Bowel sounds hypoactive. Oral mucous membranes sticky.
Genitourinary	Also reports they are urinating less and that urine is dark yellow and odorous. Clean-catch urine specimen obtained. Urine noted to be dark yellow and concentrated
Cardiovascular	Heart rate regular. No edema. Heart rate 92/min Blood pressure 102/66 mm Hg

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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?

Correct Answer is D

Explanation

Correct Answer is ["A","D","E","F","H","I"]

Explanation

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A nurse is caring for the client.

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