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.
|
Assessment |
Findings |
|
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. |
|
Laboratory Results |
WBC 12, 000/mm3 (5000 to 10000/mm3) Platelet count 188000/mm3 (150000 to 400000/mm3) |
|
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 {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
The client is at highest risk for developing mastitis evidenced by the client's cracked nipple.
Rationale:
Mastitis is a breast infection that can occur in breastfeeding individuals, often caused by bacteria entering through cracked or damaged nipples.
The client reports nipple discomfort throughout feeding and has a visible crack on the left nipple, which increases the risk of infection.
Mastitis symptoms include breast pain, swelling, redness, fever, and flu-like symptoms. If untreated, it can lead to an abscess.
Incorrect Options:
Endometritis is an infection of the uterine lining, but the client has no uterine tenderness, fever, or foul-smelling lochia, making this unlikely.
Perineal hematoma is a collection of blood in the perineal area, often presenting with severe pain and pressure. The client only reports mild perineal discomfort (2/10), which is not suggestive of a hematoma.
Correct Answer is C
Explanation
A. Renal calculi are not affected by hormonal contraception.
B. Fibrocystic breast disease is not a contraindication.
C. Hypertension is a contraindication because oral contraceptives increase the risk of stroke and thromboembolism.
D. Fibromyalgia is unrelated to contraceptive use.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.