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)
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and
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.

Answer and Explanation

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.

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Correct Answer is ["A","C","D","F","H"]

Explanation

A. Blood pressure: An elevated blood pressure of 148/94 mm Hg in a 30-week gestation client indicates potential preeclampsia. This requires follow-up, especially since it is accompanied by other preeclampsia symptoms such as headache and edema. Prompt assessment is essential to prevent progression to severe disease.
B. Respiratory assessment: The client’s respiratory rate is 20/min, even and non-labored, with clear breath sounds and 95% oxygen saturation. These are all within normal limits and do not indicate respiratory distress or compromise, so no immediate follow-up is necessary for this system.
C. Lower extremity assessment: 1+ dependent edema, though mild, can be an early sign of preeclampsia, especially when associated with elevated blood pressure and weight gain. This symptom requires monitoring for progression and possible systemic involvement.
D. Weight assessment: The client gained 0.68 kg (1.5 lb) in a week, which is above the normal range during the third trimester and may represent fluid retention. Coupled with hypertension and edema, it supports the suspicion of preeclampsia and warrants follow-up.
E. Fetal heart tracing: A fetal heart rate of 140/min is within the normal range of 110–160 bpm and shows no signs of distress. No immediate intervention is needed for fetal status at this time based on the tracing.
F. Nausea: Although nausea can be common in pregnancy, when it appears with headache and right upper quadrant pain, it may be part of the symptom complex for preeclampsia or HELLP syndrome. This combination should be followed up with further evaluation.
G. Fundal height: A fundal height of 29 cm at 30 weeks is within acceptable variation (±2 cm of gestational age), indicating appropriate fetal growth. This finding does not require follow-up at this time.
H. DTR: 3+ deep tendon reflexes suggest hyperreflexia, which is a neurological sign that can precede seizures in preeclampsia. When seen alongside elevated blood pressure and other systemic symptoms, it requires urgent follow-up to prevent maternal complications.

A. Heart rate B. WBC count C. Hgb D. Temperature E. Fundal height F. Lochia

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

Explanation

A. Heart rate: The heart rate decreased from 110/min on Day 3 to 78/min on Day 5, indicating resolution of systemic inflammatory response and improved hemodynamic status.
B. WBC count: The WBC count decreased from 33,000/mm³ (marked leukocytosis) to 10,000/mm³, which is within the normal range and suggests resolution of infection.
C. Hemoglobin: A drop in hemoglobin from 11.1 g/dL to 10 g/dL does not reflect improvement; it may indicate mild blood loss or fluid shifts common postpartum. Although not alarming, it requires monitoring rather than being interpreted as a sign of recovery.
D. Temperature: The client’s temperature returned from a febrile state (38.6°C) to normal (37.1°C), demonstrating the effectiveness of antibiotic therapy and reduced inflammation.
E. Fundal height: The uterus involuted from 1 cm above the umbilicus to 4 cm below, indicating normal postpartum uterine contraction and resolution of uterine atony.
F. Lochia: Lochia changed from a moderate amount of foul-smelling discharge to a small amount of brownish-red discharge with no odor, suggesting that endometrial infection is resolving and healing is progressing.

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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) dropdownanddropdown.

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Naxlex Comprehensive Predictor Exams

A nurse in labor and delivery is caring for a client who is at 30 weeks of gestation. Exhibits Select the 5 findings that require follow-up by the nurse.

Correct Answer is ["A","C","D","F","H"]

Explanation

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

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

Explanation

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A nurse in labor and delivery is caring for a client who is at 30 weeks of gestation. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdowndue todropdown.

A nurse is preparing to witness a client's signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (Select all that apply.)

A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

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)
dropdown
and
dropdown
.