The client delivered 30 minutes ago. Her blood pressure and pulse are stable. Vaginal bleeding is scant. The nurse should prepare for which procedure?
1. Abdominal hysterectomy
2. Manual removal of the placenta
3. Repair of perineal lacerations
4. Foley catheterization
2
Explanation: 2. Retention of the placenta beyond 30 minutes after birth is termed retained placenta. Manual removal of the placenta is then performed.
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The nursing instructor is talking with her junior nursing class about fluid and electrolyte balance. What would the instructor tell her students that the average daily fluid intake for an adult is?
A) 2000 mL B) 2500 mL C) 3000 mL D) 3500 mL
Why is it important for the newly admitted patient to be included in his care-planning session? (Select all that apply.)
a. So he can maintain some degree of control b. So he can reject the care plan c. So he can voice his preferences d. So he can improve his problem-solving capabilities e. So he can gain insight to overall goals of care
You are performing hearing screening tests. Who would be expected to find difficulty in hearing the highest frequencies?
a. A 7-year-old b. An 18-year-old c. A 30-year-old d. A 50-year-old
The UAP is given ambulation instructions by a staff nurse for a patient 2 days postoperatively. Which of the following ambulation instructions would require further communication to the UAP to ensure the safety of the patient?
a. "Ambulate the patient the length of the hallway and get me if there are any prob-lems.". b. "Have you ambulated this type of post-op patient before?" c. "Let me know 1 hour before you are ready to ambulate the patient so I can give him his pain medication.". d. "This patient has been ambulating with minimal assistance, but I would like you to walk with him to be sure he is stable.".