A nurse has just received the intershift report. After reviewing the client assignment and the appropriate medical records, the nurse determines that which of the following clients is most at risk for developing postdelivery endometritis?
1. A primigravida with a normal spontaneous vaginal delivery
2. A gravida II who delivered vaginally following an 18-hour labor
3. A client experiencing an elective cesarean delivery at 38 weeks' gestation
4. An adolescent experiencing an emergency cesarean delivery for fetal distress
4
Rationale: Endometritis is an acute infection of the uterine mucous lining immediately after de-livery and is still a leading cause of mortality for childbearing women in the United States. Ce-sarean delivery is the primary risk factor for uterine infection, especially after emergency proce-dures. Other risk factors include prolonged rupture of membranes, multiple vaginal examinations, and an excessive length of labor. The other options do not describe the client most at risk to develop endometritis following delivery.
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In order to collect accurate data for a cultural assessment, the nurse would ask the client what questions in order to determine cultural factors that might be at play relating to the client's psychosocial environment? Standard Text: Select
all that apply. 1. What is the client's language preference 2. Is there a name or category used by the client to identify the condition? 3. What role does religion play in the individual's life 4. What kind of support system does the client have 5. Educational status
A 28-year-old man presents with complaints of diarrhea, fecal urgency, and weight loss. His stool is light colored and malodorous, and it tends to float and be difficult to flush He has also noted tender, red bumps on his shins and complains of pain and stiffness in his elbows and knees. Sigmoidoscopy reveals discontinuous, granulomatous lesions; no blood is detected in his stool. Which of the following diagnoses would his care team first suspect?
A) Crohn disease B) Ulcerative colitis C) Diverticulitis D) Colon cancer
The most common drug(s) used in high-dose barbiturate therapy are
a. Dilantin and Cerebyx. b. mannitol and nimodipine. c. Dilantin and phenobarbital. d. pentobarbital and thiopental.
If you were discussing the Mental Health and Mental Disorders Objectives for the year 2010 identified in Healthy People 2010: National Health Promotion and Disease Prevention Objectives with a friend, how might you best summarize some of the ways it
suggests expanding mental health treatment? A) Tell them it suggests increasing mental health treatment in a variety of ways, and explain that some of the suggestions focus on increasing screening and assessment activities, meeting the needs of children and juveniles, reducing relapse rates for eating disorders, and increasing the numbers of adults who receive treatment for mental disorders and co-occurring substance abuse and mental disorders. B) Explain that the identified objectives predominately focus on meeting the needs of the elderly population, which increase significantly over the next decade or so as baby boomers age. Tell them that the needs of infants will also be targeted so that future generations will not have as many mental health problems. C) Discuss how the objectives focus on federal rather than state-level initiatives; thus, effectively shutting state legislatures out of the loop when it comes to making decisions about how health care monies should be allocated. D) Explain that the objectives emphasize the need for mental health care to be consumer and family driven and disparities in mental health services eliminated with screening, assessment, and referral to mental healthy services becoming common practice.