Which data collected during your assessment may indicate a vaginal wall hematoma?
a. Firm uterus at U-1
b. Pulse rate of 110 bpm
c. Moderate lochia
d. Soreness of perineum
ANS: B
Trauma to the vaginal area from a forceps birth may result in significant blood loss from hematomas or lacerations. Tachycardia is an early sign of compensation for excessive blood loss. If vital signs suggest hemorrhage but excessive bleeding is not obvious, the cause may be concealed bleeding and the formation of a hematoma; a firm fundus, moderate lochia, and soreness of the perineum are normal findings.
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A patient states, "I will avoid social situations where people are drinking alcohol so I am not tempted to start drinking again." The nurse assesses the patient to be in which stage of change?
a. Contemplation b. Precontemplation c. Maintenance d. Engagement
A possible nursing diagnosis indicates
a. a situation in which a problem could arise unless preventive action is taken b. that a problem does not yet exist, but special risk factors are present c. the client's expression of a desire to attain a higher level of wellness in some area of function d. that a problem exists
An in-depth history and physical builds the
A) Plan of care B) Future interventions C) Database D) Secondary source
Ordered: Novolin® 70/30 insulin 32 units subcut 4 times a day, with meals and at bedtime, for 60 days.On hand: See label Calculate the number of vials to dispense: ________.
Fill in the blank(s) with the appropriate word(s).