Exhibits
The nurse has reviewed the client's chart. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that this client is due to .
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Hemorrhaging:
The client exhibits signs of excessive vaginal bleeding, as indicated by a boggy fundus and saturated pads and sheets beneath her. The significant blood loss is concerning, especially following a 4th-degree laceration and the recent delivery.
Uterine Atony:
The fundus is noted to be boggy (soft) at multiple assessments, which is a key indicator of uterine atony. This condition is the most common cause of early postpartum hemorrhage and occurs when the uterus fails to contract effectively after delivery, leading to excessive blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","H"]
Explanation
A. While discussing treatment options is important, it may not be immediately necessary at this point unless the client shows signs of severe respiratory distress or failure.
B. Given the client's respiratory distress and recent cold symptoms, obtaining a sputum culture can help identify any underlying infection, which is important for appropriate treatment, particularly with the prescribed azithromycin.
C. Continuous monitoring of oxygen saturation is essential to ensure that the client's oxygen levels are adequate, especially since she is at risk for hypoxia. The goal is to maintain oxygen saturation greater than 94%.
D. Positioning the client in a way that enhances her comfort, such as sitting upright, can help improve her breathing and reduce respiratory distress. This is a fundamental nursing intervention in respiratory care.
E. If the client's oxygen saturation improves, the nurse can begin to wean the supplemental oxygen while monitoring for any signs of respiratory distress. This step should be approached cautiously to ensure the client maintains adequate oxygen levels.
F. There is no indication that the client requires deep tracheal suctioning at this moment. This action is reserved for patients with excessive secretions or compromised airway patency.
G. Positive pressure ventilation would typically be considered if the client were in severe respiratory distress or failure. The current assessment does not indicate an immediate need for this intervention.
H. Education on potential asthma triggers is crucial for the client's long-term management. This discussion can help the client avoid situations that could lead to future exacerbations, thus improving her overall asthma control.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"}}
Explanation
Coolness of skin: This is commonly associated with vascular compromise, more likely to occur in fractures like humeral fractures where the blood vessels may be injured.
Decreased range of motion: Both rotator cuff injuries and humeral fractures lead to impaired movement due to pain and structural damage.
Reduced pulse distal to injury: This is typically a sign of vascular injury, more commonly associated with fractures than with soft tissue injuries like rotator cuff damage.
Pain with movement: Both conditions result in pain, especially during arm movement.
1+ strength in left upper extremity: Weakness can be present in both conditions due to the pain and mechanical issues affecting muscle function.
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