A nurse onapostpartum unit is caring for a client.

Exhibits
Which of the following provider's prescriptions should the nurse anticipate? Select all that apply?

Kleihauer-Betke test

Tocolytic medication

Intravenous antibiotic

increase in daily fluid intake

intrauterine tamponade balloon

Answer and Explanation

Correct Answer : C,D

Rationale for Correct Choices

• Intravenous antibiotic: The client shows classic signs of postpartum endometritis, including fever, uterine tenderness, boggy fundus, and foul-smelling lochia. IV antibiotics are the primary treatment to target the uterine infection and prevent progression or sepsis.

• Increase in daily fluid intake: Adequate hydration supports circulation, helps maintain uterine tone, and assists in reducing the risk of complications such as hypotension or dehydration from infection. Fluids also support antibiotic therapy by promoting renal clearance and overall recovery.

Rationale for Incorrect Choices

• Kleihauer-Betke test: This test identifies fetal-to-maternal hemorrhage, which is not indicated here because the client’s hemoglobin is stable and there is no evidence of significant postpartum hemorrhage.

• Tocolytic medication: Tocolytics are used to suppress preterm labor, which is irrelevant for this postpartum client whose uterus has already delivered the fetus.

• Intrauterine tamponade balloon: This intervention is used for severe postpartum hemorrhage to mechanically control bleeding. The client’s bleeding is moderate and the uterus is firm after massage, so this is not indicated at this time.

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Correct Answer is ["A","B","D"]

Explanation

Rationale:
A. Hypothermia: Hypothermia increases metabolic demand and glucose utilization in newborns, making them more susceptible to hypoglycemia. Maintaining normal body temperature is crucial for preventing low blood glucose levels.

B. Maternal diabetes: Infants born to mothers with diabetes are at higher risk for hypoglycemia due to fetal hyperinsulinemia. After birth, the excess insulin can cause rapid drops in blood glucose.

C. Anemia: While anemia affects oxygen-carrying capacity, it is not a direct risk factor for neonatal hypoglycemia. Blood glucose regulation is not primarily impacted by red blood cell count.

D. Prematurity: Premature infants have limited glycogen stores and immature glucose regulation, increasing the risk for hypoglycemia. They may require closer glucose monitoring and early feeding interventions.

E. Thrombocytopenia: Low platelet count does not affect glucose metabolism and is not a recognized risk factor for neonatal hypoglycemia.

A. Action B. Contemplation C. Preparation D. Precontemplation

Correct Answer is C

Explanation

Rationale:
A. Action: The action stage involves actively implementing strategies to change behavior, such as already using nicotine replacement therapy or abstaining from smoking. Since the client has not yet started quitting but intends to soon, they are not yet in this stage.

B. Contemplation: In this stage, the individual recognizes the need for change but has not yet committed to taking concrete steps. The client requesting a prescription and setting a quit date indicates they have moved beyond contemplation and are preparing for action.

C. Preparation: The preparation stage is characterized by planning to take action within the near future, usually within the next month. The client’s decision to quit within 2 weeks and request a nicotine patch reflects commitment and readiness to initiate behavior change, fitting this stage precisely.

D. Precontemplation: During precontemplation, the individual has no intention of changing behavior and may be unaware of the risks or resistant to advice. This does not apply to the client, who has already expressed motivation and plans to quit smoking soon.

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A nurse onapostpartum unit is caring for a client. Exhibits Which of the following provider's prescriptions should the nurse anticipate? Select all that apply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse in a newborn nursery is providing information to a group of nurses about risk factors for hypoglycemia. Which of the following risk factors should the charge nurse include? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is C

Explanation

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A nurse onapostpartum unit is caring for a client.

Exhibits
Which of the following provider's prescriptions should the nurse anticipate? Select all that apply?