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
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
The nurse recognizes that this client is Hemorrhaging due to uterine atony.
Rationale
This client is likely experiencing hemorrhaging, as indicated by the boggy fundus (uterine atony), saturated pad and sheets with blood, and the significant estimated blood loss of 600 mL after delivery. Hemorrhaging refers to excessive bleeding, which can occur due to various reasons in the postpartum period, including uterine atony.
The boggy fundus (uterus) at 1 cm above the umbilicus suggests poor uterine tone, which is indicative of uterine atony. Uterine atony is a common cause of postpartum hemorrhage and occurs when the uterus fails to contract adequately after delivery, leading to excessive bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale
A. This is not appropriate because a high HDL level (85 mg/dL) is beneficial and does not typically necessitate medication therapy solely for raising HDL.
B. This is reasonable to assess overall cardiovascular risk factors, including hereditary factors, which can influence the management and prevention of heart disease.
C. It reinforces the positive impact of a high HDL level on reducing cardiovascular risk and provides the client with valuable information about their health status.
D. While dietary advice is important, specifically targeting fatty foods may not be necessary if the client's HDL level is already high. General dietary recommendations for heart health are beneficial but should be tailored to individual needs.
Correct Answer is ["1.3"]
Explanation
Convert pounds to kilograms.
- 1 pound = 0.453592 kilograms
- 132 pounds * 0.453592 kg/pound = 59.87 kilograms
Step 2: Calculate the total dose in micrograms.
- 44 micrograms/kilogram * 59.87 kilograms = 2635.08 micrograms
Step 3: Convert micrograms to milligrams.
- 1 milligram = 1000 micrograms
- 2635.08 micrograms / 1000 micrograms/milligram = 2.63508 milligrams
Step 4: Calculate the volume to be administered.
- Concentration of lorazepam = 2 milligrams/milliliter
- Volume = Dose / Concentration
- Volume = 2.63508 milligrams / 2 milligrams/milliliter = 1.31754 milliliters
Therefore, the nurse should administer approximately 1.3milliliters of the lorazepam solution.
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