The nurse continues to care for the client.
Click to highlight the findings that indicate improvement in the client's condition. To deselect a finding, click on the finding again.
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Assessment |
Findings |
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Nurses' Notes |
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge. Membranes intact No uterine contractions noted. FHR baseline 138, minimal variability. No further reports of burning with urination. |
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Laboratory Results |
WBC 12, 000/mm3 (5000 to 10000/mm3) Platelet count 188000/mm3 (150000 to 400000/mm3) |
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Vital Signs |
Temperature 37.1°C (98.7°F) Blood pressure 120/78 mmHg |
Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge
Membranes intact
No uterine contractions noted
FHR baseline 138, minimal variability
No further reports of burning with urination
WBC 12, 000/mm3 (5000 to 10000/mm3)
Platelet count 188000/mm3 (150000 to 400000/mm3)
Temperature 37.1<strong>°</strong>C (98.7<strong>°</strong>F)
Blood pressure 120/78 mmHg
The Correct Answer is ["A","C","E","F","H","I"]
Nurses' Notes:
Client rates lower back pain a 0 on a scale from 0 to 10: Indicates pain resolution, suggesting improvement.
No reports of vaginal discharge: Suggests stabilization and no signs of labor progression.
No uterine contractions noted: Indicates that preterm labor is resolving.
No further reports of burning with urination: Suggests that the urinary tract infection (UTI) is improving.
Vital Signs:
Temperature 37.1°C (98.7°F): Fever has resolved, indicating response to antibiotics.
Blood pressure 120/78 mmHg: Remains stable within normal limits.
Laboratory Results:
WBC 12,000/mm³ (previously 16,000/mm³): Decreasing WBC count suggests resolution of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Biological response modifiers (e.g., TNF inhibitors) help manage RA by modifying immune responses, but they increase the risk of infection, not prevent it.
B. Cold therapy should not be applied directly to the skin—it should be wrapped in a towel to prevent skin damage. Cold therapy is used for acute inflammation, not stiffness.
C. Heat therapy, such as a hot shower or warm compress, helps reduce morning stiffness and joint pain in clients with rheumatoid arthritis (RA).
D. Clustered activity can lead to fatigue. Instead, activities should be spread out with rest periods.
Correct Answer is D
Explanation
A. A client with a sealed radiation implant requires strict precautions and monitoring, making them unsuitable for early discharge.
B. A client with COPD and a respiratory rate of 44/min is unstable and requires close monitoring.
C. A client on heparin for deep vein thrombosis (DVT) requires continued monitoring due to the risk of embolism.
D. A client 1 day postoperative after a vertebroplasty is typically stable and may be discharged with instructions for at-home care.
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