A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, when the nurse takes the woman's pulse, the pulse is found to be 60 beats per minute. Which of these actions should the nurse take?
A) Chart the finding, as it is normal finding at this time.
B) Contact the physician, as it is indicates early DIC.
C) Contact the physician, as it is a first sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests postpartum anemia.
A
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A nurse includes in the discharge plan for a patient with Addison disease, "Risk for injury." What should measures to deal with this include?
a. Arranging for uncluttered floor space b. Rising slowly from a lying position c. Keeping the room well lit d. Providing instructions in the use of a walker
A 26-year-old multigravida at 28 weeks' gestation has developed gestational diabetes. She has a program of regular exercise that includes walking, bicycling, and swimming. What instructions should be included in a teaching plan for this client?
1. Exercise either just before meals or wait until 2 hours after a meal. 2. Carry hard candy (or other simple sugar) when exercising. 3. If your finger stick shows less than 120 mg/dL, ingest 20 g of carbohydrate. 4. If your finger stick shows more than 120 mg/dL, drink a glass of whole milk or other source of carbohydrate.
In the preparation of a nursing care plan relative to the client's mental status, the least helpful data would be those resulting from
a. client's overall response to the interview. b. formal psychological tests. c. notation of appropriateness of affect. d. observation of nonverbal behavior.
A woman brings her husband into treatment, stating that he has made their apartment largely uninhabitable due to the accumulation of "piles of worthless debris that he adds to every day."
He refuses to discard items even though they have no value and keeps a detailed mental inventory of every item in their home. Based on these data, the nurse suspects that the husband may have which of the following? A) Obsessive-compulsive personality disorder B) Avoidant personality disorder C) Narcissistic personality disorder D) Paranoid personality disorder