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A nurse on a postpartum unit is caring for a client.

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

Heart rate

Temperature

Fundal height

WBC count

Lochia

Hgb

Answer and Explanation

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

Rationale:

A. Heart rate decreased from 110/min on day 3 to 78/min on day 5. Tachycardia is a common response to fever and infection. The return to normal heart rate indicates resolution of infection and improved systemic status.

B. Temperature decreased from 38.6°C (101.5°F) to 37.1°C (98.9°F). Afebrile status reflects infection resolution and successful antibiotic response.

C. Fundus descended from 1 cm above umbilicus (day 3) to 4 cm below umbilicus (day 5). Normal uterine involution should occur at about 1 cm/day; this finding confirms proper healing and uterine contraction.

D. WBC count decreased from 33,000/mm³ to 10,000/mm³, which is within the normal range (5,000–10,000/mm³). This indicates infection control and resolution of systemic inflammation.

E. Lochia changed from dark brown and foul-smelling to small amount of brownish-red lochia without odor. The progression and normalization of lochia color and odor indicate healing and resolution of uterine infection.

F. Hemoglobin (Hgb) decreased from 11.1 g/dL to 10 g/dL, indicating continued mild anemia likely related to blood loss from delivery or infection recovery. Although the drop is slight, it does not indicate clinical improvement.

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Free Nursing Study Resources

Correct Answer is ["B","C"]

Explanation

A. Check for a disconnection in the ventilator tubing: A disconnection causes low-pressure alarms, not high-pressure alarms.

B. Check for a kink in the ventilator tubing: Kinked or obstructed tubing increases resistance to airflow, causing high-pressure alarms.

C. Suction the ET to remove secretions: Secretions in the airway increase airway resistance and pressure, leading to high-pressure alarms.

D. Assess the ET for a cuff leak: A cuff leak results in low-pressure alarms due to air escaping from the system.

E. Verify the placement of the ET: Malposition usually leads to decreased airflow or low-pressure alarms.

A. A client who has an open compound fracture of the humerus B. A client who has multiple facial lacerations C. A client who has full-thickness burns over the lower extremities D. A client who has a puncture wound in the right lower lung

Correct Answer is B

Explanation

A. An open compound fracture requires urgent treatment due to risk of hemorrhage and infection, classified as yellow (delayed) or red (immediate) depending on severity.

B. Multiple facial lacerations, though visible, are not life-threatening and can be managed with delayed treatment. These clients are ambulatory and stable, fitting the green (minor) triage tag category.

C. Full-thickness burns on the lower extremities pose risk for fluid loss, infection, and shock, red (immediate) priority.

D. A puncture wound to the lung indicates possible pneumothorax or internal bleeding, red (immediate) due to airway/breathing compromise.

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A nurse on a postpartum unit is caring for a client. Exhibits Select the 5 findings that indicate the client’s condition has improved.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C"]

Explanation

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Correct Answer is B

Explanation

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A nurse on a postpartum unit is caring for a client.

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