A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Apply elastic stockings before the client gets out of bed.

Apply warm, moist packs to the client's lower legs.

Have the client ambulate as often as possible.

Administer NSAIDs every 4 to 6 hours.

Answer and Explanation

The Correct Answer is C

A: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

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Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

A. Tachypnea B. Hypertension C. Tachycardia D. Fever

Correct Answer is C

Explanation

A. Tachypnea (rapid breathing) is not typically an adverse effect of epidural anesthesia.
B. Hypertension (high blood pressure) is not typically an adverse effect of epidural anesthesia.
C. Tachycardia (rapid heart rate) can be an adverse effect of epidural anesthesia, potentially due to a decrease in blood pressure leading to a compensatory increase in heart rate.
D. Fever is not a common adverse effect of epidural anesthesia.

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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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