The nurse has received the end-of-shift report on the postpartum unit. Which patient should the nurse see first?
1. Multip, 2nd day post-cesarean, moderate lochia serosa
2. Primip, day of delivery, fundus firm 2 cm above umbilicus
3. Multip, 1st postpartum day, 4 cm diastasis recti abdominis
4. Primip, 1st postpartum day, hypoactive bowel sounds all quadrants
2
Rationale 1: This patient is not experiencing any unexpected findings.
Rationale 2: This patient is the top priority. The fundus should not be positioned above the umbilicus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding.
Rationale 3: This finding is normal, especially in a multiparous patient.
Rationale 4: Bowel sounds are often decreased after delivery.
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A nurse is concerned about an upcoming debate on a proposed state health care policy change. What actions can the nurse take in order to have his or her voice heard on this issue? (Select all that apply.)
a. Contact legislators by phone to express opinions. b. Encourage nursing experts to testify at hearings. c. Gather information and speak at the hearings. d. Run for election to governmental office. e. Write letters to supportive state representatives.
The Jackson-Pratt (JP) drain relies on the presence of a vacuum to withdraw drainage and is considered a __________ drainage system
Fill in the blanks with correct word
What are important characteristics of vitamins that the nurse should include in client teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Provitamins are supplied in the diet. 2. Vitamins are similar in the nutritional roles they play. 3. Disease results when vitamins are not present in adequate amounts. 4. The body synthesizes necessary vitamins. 5. Vitamins can be taken as often as necessary.
A client has been prescribed tretinoin (Retin-A). What will the nurse include in the client teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. "Do not use this medication if pregnant." 2. "Avoid using vitamin C supplements." 3. "Increase intake of vitamin A." 4. "Avoid exposure to the sun." 5. "Do not take with oral contraceptives."