Which occurrence in a 1-day postpartum client would be considered an abnormal finding?
a. Voiding large amounts of urine c. Positive Homan's sign
b. Lochia rubra in moderate amounts d. BP 100/50, tempera-ture 100°F
C
A positive Homan's sign indicates the presence of thrombophlebitis. Voiding large amounts and moderate lochia rubra at 1-day postpartum are to be expected. A slightly elevated body temperature is normal and related to the many metabolic activities occurring during early postpartum.
You might also like to view...
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination?
a. Glasgow Coma Scale b. Neurologic recheck examination c. Screening neurologic examination d. Complete neurologic examination
A school-age child with acute diarrhea and mild dehydration is being given oral rehydration solutions (ORS). The child's mother calls the clinic nurse because he is also occasionally vomiting. The nurse should recommend which intervention?
a. Bring the child to the hospital for intravenous fluids. b. Alternate giving ORS and carbonated drinks. c. Continue to give ORS frequently in small amounts. d. Keep child NPO (nothing by mouth) for 8 hours and resume ORS if vomiting has subsided.
An 89-year-old patient arrives at the emergency department by ambulance after having been found lethargic at home
After placing the patient on a monitor and applying oxygen via nasal cannula, the nurse notes that the SpO2 monitor reads 92 percent. Based on this assessment, the nurse should plan to do which of the following? 1. notify the physician of this change in condition 2. continue to monitor the patient 3. increase the oxygen to 10 liters via nasal cannula 4. change to higher concentration oxygen via aerosol mask
Approximately what percentage of the adult population (18 to 64 years of age) has a mental disorder in the United States?
1. 6 2. 14 3. 22 4. 30