A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem?
A) Lochia rubra with a fleshy odor
B) Respiratory rate of 16 breaths per minute
C) Temperature of 101° F
D) Pain rating of 2 on a scale from 0 to 10
C
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The nurse is providing care to a client who receives peritoneal dialysis for the treatment of renal failure. Which assessment findings will the nurse report to the health care provider as indicators of peritonitis?
Select all that apply. 1. Fever 2. Nausea 3. Vomiting 4. Pain at the exit site 5. Anuria
A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is:
A) to aggressively treat the disease. B) to provide care for the dying in the home. C) to aggressively treat the symptoms of the disease. D) to support the family of the dying patient.
The nurse is assessing the pain of a client experiencing angina. Which of the following should be included in this assessment? (Select all that apply.)
1. Precipitating event 2. Quality 3. Radiation 4. Severity 5. Timing 6. Medication
The student nurse is administering a large-volume enema to a client. The client complains of abdominal cramping. What should the student nurse do first?
A) Increase the flow of the enema for approximately 30 seconds then decrease it to the prior flow rate. B) Stop the administration of the enema and notify the physician. C) Stop the adminstration of the enema momentarily. D) Increase the flow of the enema until all of the solution has been administered.