Exhibits
The nurse is reviewing the chart.
Select the condition from the choices below to fill in each blank in the following sentence.
Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing
The Correct Answer is {"dropdown-group-1":"C"}
Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing thromboembolism
Rationale
Prolonged immobility during labor and instrumental delivery are risk factors for venous thromboembolism (VTE) due to stasis of blood flow in the lower extremities. In addition, epidural anesthesia can contribute to venous stasis by impairing mobility and reducing the ability to feel discomfort or urgency to move.
The immediate postpartum period, especially after a prolonged labor and delivery, poses an increased risk of VTE due to hypercoagulability and vascular damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Rationale
A. High in sodium due to pickling, which is not suitable for someone with hypertension.
B. Recommended because fresh fruits are low in sodium and high in potassium and other nutrients beneficial for managing blood pressure.
C. Recommended because they are low in sodium and rich in potassium, fiber, and nutrients that support cardiovascular health.
D. Cottage cheese is high in sodium and should be avoided or consumed in moderation.
E. Generally high in sodium, which should be limited or avoided in the diet of someone with hypertension.
Correct Answer is D
Explanation
Rationale
A. This approach might inadvertently increase feelings of isolation and worsen agitation. Older adults with dementia often benefit from social interaction and engagement. Limiting interaction could lead to increased confusion and behavioral issues.
B. Attempting to correct or argue with the client about their delusions is generally not effective and can escalate agitation. Clients with dementia may not have the cognitive ability to understand or accept reality as others perceive it. Therefore, trying to clarify or correct delusional thoughts is unlikely to be helpful and may increase distress.
C. While maintaining a consistent routine is beneficial for clients with dementia, forcibly awakening the client earlier could disrupt their natural sleep patterns and contribute to increased confusion and agitation. It's important to balance the need for routine with the client's individual sleep and rest patterns.
D. This approach focuses on redirecting the client's attention away from the distressing thoughts and behaviors. Distraction techniques involve engaging the client in activities or topics that they find enjoyable or comforting. Therapeutic communication skills include active listening, empathy, and validating the client's emotions without reinforcing delusions.
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