Exhibits
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should anticipate a provider's prescription for a(n)
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Rationale for Correct Choices:
- Intravenous antibiotic: The client exhibits signs of postpartum infection, most consistent with endometritis—elevated WBC count, low-grade fever, uterine tenderness, foul-smelling lochia, and a history of prolonged rupture of membranes and cesarean delivery. IV antibiotics are the first-line treatment to control uterine infection and prevent sepsis.
- Increase in daily fluid intake: Maintaining adequate hydration is essential to support tissue perfusion and aid in the clearance of infection. Fever and elevated WBCs increase metabolic demands, so increased fluid intake can help mitigate dehydration and support antibiotic therapy.
Rationale for Incorrect Choices:
- Kleihauer-Betke test: This test detects fetal-to-maternal hemorrhage, typically used after trauma or suspected placental abruption. It is not indicated in cases of suspected postpartum infection.
- Intrauterine tamponade balloon: This intervention is used for managing postpartum hemorrhage due to uterine atony or trauma, not infection. The client’s bleeding is moderate and not indicative of uncontrolled hemorrhage.
- Tocolytic medication: Tocolytics are used to suppress premature labor and have no role in postpartum care, especially in the presence of infection, where uterine relaxation could worsen outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation increases the risk of forgetting important details and can compromise accuracy and continuity of care. Timely documentation is critical.
B. Delay cleaning personal work area until the end of the shift: Postponing cleaning may lead to disorganization and inefficiency throughout the shift, potentially impacting infection control and readiness for patient care.
C. Complete activities for one client before moving to the next client: Focusing on completing care for one client at a time promotes continuity, reduces task repetition, and improves prioritization and time management.
D. Gather supplies for a client's dressing change after removing the old dressing: This approach wastes time and may expose the wound to contaminants. Preparing all supplies in advance supports efficiency and infection control.
Correct Answer is B
Explanation
A. Decreased temperature: Vomiting and diarrhea usually cause dehydration, but they do not typically lower body temperature. Infants may have a normal or slightly elevated temperature if an infection is present.
B. Oliguria: Oliguria, or reduced urine output, is a key sign of dehydration in infants. Fluid loss from vomiting and diarrhea leads to decreased kidney perfusion, causing the kidneys to conserve water and produce less urine.
C. Bulging anterior fontanel: A bulging anterior fontanel indicates increased intracranial pressure and is not a sign of dehydration. In contrast, dehydration often causes a sunken fontanel due to decreased fluid volume.
D. Hypertension: Dehydration usually causes low blood pressure in infants because of decreased circulating blood volume. Hypertension is not expected in this situation and would suggest a different underlying issue.
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