The client delivered her second child 1 day ago. The client's temperature is 101.4° F, her pulse is 100, and her blood pressure is 110/70. Her lochia is moderate, serosanguinous, and malodorous. She is started on IV antibiotics
The nurse provides education for the client and her partner. Which statement indicates that teaching has been effective? 1. "This condition is called parametritis."
2. "Gonorrhea is the most common organism that causes this type of infection."
3. "My Beta-strep culture's being positive might have contributed to this problem."
4. "If I had walked more yesterday, this probably wouldn't have happened."
3
Explanation: 3. Clinical findings of metritis in the initial 24 to 36 hours postpartum tend to be related to group B streptococcus (GBS).
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The high content of which substance in cerebrospinal fluid (CSF) can differentiate it from other body fluids?
a. glucose c. salts b. protein d. urea
A nurse is trying to keep a confused resident from removing a feeding tube by following the "rule of least restriction." What should replace the wrist restraint?
a. Mittens b. Vest restraint c. Administration of a mild sedative d. Tightly tucked sheet
The nurse is assessing an older adult client who is experiencing a myocardial infarction. What clinical manifestation does the nurse expect in this client?
a. Excruciating pain on inspiration b. Left lateral chest wall pain c. Disorientation and confusion d. Numbness and tingling of the arm
An example of the secondary level of prevention is:
1. approved infant car seats. 2. breast self-examination. 3. immunizations. 4. support groups for parents of children with Down syndrome.