Which of the following assessment findings six hours after delivery requires immediate nursing intervention?
A) The episiotomy is slightly bruised. B) The breasts are secreting a thin, yellowish fluid. C) Lochia is dark red, and contains two nickel-sized clots. D) The mother has not voided since delivery.
D
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A 3-month old infant presents with vomiting and diarrhea. The infant appears to be drowsy; his pulse rate is 180 beats/min; and he has had a dry diaper for the past 3 hours. The nurse suspects the patient has developed
a. mild dehydration. c. a gastrointestinal virus. b. moderate dehydration. d. severe dehydration.
The nurse is caring for a client who is hospitalized due to an exacerbation of systemic lupus erythematosus (SLE). The nurse is reviewing the client's lab work and finds the white blood cell count (WBC) is shifted to the left
Based on this information, which is a priority nursing diagnosis for this client? A) Risk for Infection B) Ineffective Health Maintenance C) Ineffective Individual Coping D) Risk for Impaired Skin Integrity
Which client will be most receptive to teaching about nonpharmacologic pain control methods?
a. Gravida 1, para 0, in transition b. Gravida 2, para 1, admitted at 8 cm c. Gravida 1, para 0, dilated 2 cm, 80% effaced d. Gravida 3, para 2, complaining of intense perineal pressure
An adolescent is being seen for a chlamydial infection. Which statement is most accurate regarding this infection?
A) The child will have frequent urinary tract infections B) The male with the diagnosis may be sterile and unable to father a child C) If the female gets pregnant she will have to have a cesarean delivery D) The diagnosis can cause severe neurologic damage