The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

Provide a stool softener for constipation.

Assess the bladder for distension.

Check the hemoglobin to determine uterine hemorrhage.

Massage the uterus to decrease atony.

Answer and Explanation

The Correct Answer is B

Correct Answer: B.
A.   Providing a stool softener for constipation might be necessary postpartum but isn't the initial action indicated by the client's current status.
B.   Assessing the bladder for distension is crucial because a distended bladder can displace the uterus and impede its ability to contract properly, leading to uterine atony and increased bleeding.
C.   Checking the hemoglobin to determine uterine hemorrhage is important but might not be the initial step needed based on the client's condition.
D.   Massaging the uterus to decrease atony is a potential intervention, but assessing for bladder distension takes priority in this scenario to prevent uterine displacement.

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Correct Answer is C

Explanation

A. Fresh cherries are not typically high in tyramine and are usually considered safe for individuals trying to reduce tyramine intake.
B. Vanilla wafers generally do not contain significant amounts of tyramine and are often considered safe for those aiming to reduce tyramine intake.
C. Cheddar cheese is high in tyramine and should be avoided by individuals attempting to decrease their intake of tyramine-containing foods to manage migraines.
D. Hard-boiled eggs are not high in tyramine and are typically safe for consumption in individuals trying to reduce tyramine intake.

A. Oxygen concentration of the ambient air. B. Whether or not anyone witnessed the fall into the pool. C. Temperature of water. D. The amount of time the child was submerged.

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.

D. The duration of submersion directly correlates with the level of hypoxemia.

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The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client who has migraine headaches wants to decrease her intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which snack choice should the practical nurse recommend that she eliminate from her diet?

Correct Answer is C

Explanation

What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

A chronically depressed older male resident of a long-term care facility has become more reclusive and today refuses to leave his room. His family has away and are unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client?

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

The practical nurse (PN) observes a client's mouth and lips as seen in the picture. Which follow-up action is most important for the PN to take?

The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)