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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary frequency. - Urinary frequency is not a typical symptom indicative of hypoglycemia.
B. Tachycardia. - Tachycardia, an increased heart rate, can be a sign of hypoglycemia as the body responds to low blood sugar by increasing the heart rate to compensate.
C. Elevated temperature. - Elevated temperature is not typically associated with hypoglycemia; it might suggest an infection or other issues.
D. Hypertension. - Hypertension, or high blood pressure, is not a typical sign of hypoglycemia; it might indicate other health conditions or issues.
Correct Answer is B
Explanation
A. Wrapping the infant with a warm blanket might provide comfort but may not directly address the signs of discomfort or pain.
B. Giving the prescribed analgesic is essential to alleviate the infant's discomfort or pain following a surgical procedure like pylorotomy.
C. Obtaining blood glucose level might be necessary in certain situations but does not directly address the observed signs of discomfort and pain in the infant.
D. Burping the infant every two hours may relieve gas but does not address the symptoms of restlessness, grimacing, and drawing knees to the chest, which are indicative of pain or discomfort post-surgery.
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