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 ["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 B
Explanation
Rationale
A. Client A's oxygen saturation is acceptable for someone with emphysema.
B. This is because Client B's postoperative hemoglobin level is 8.2 mg/dL, which is significantly lower than the normal reference range of 14 to 18 g/dL. This indicates that Client B is anemic and may require a blood transfusion to increase the hemoglobin level.
C. Client C's potassium level is within the normal range
D. Client D's WBC count is elevated, moving them into isolation is not indicated solely based on an elevated WBC count.
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