The nursing staff has been intervening to control excessive postpartum bleeding. The nurse notes the client's condition as follows: cold, wet skin; pulse rate 120; increasing anxiety. What would be the most appropriate immediate nursing action?
a. Decrease IV to a keep-vein-open rate.
b. Initiate transfusion of 2 units of packed red blood cells.
c. Insert a Foley catheter.
d. Notify the health care provider and increase the IV fluid rate.
D
With hemorrhage, the client needs rapid administration of volume-expanding fluids, IV medications, and, if the hemoglobin drops to 7 grams/dL, the client needs blood products as prescribed.
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Signs and symptoms of schizophrenia often are first seen in:
a. Early childhood b. Adolescence c. Early adulthood d. Middle adulthood
A nursing instructor is developing a class presentation about the medications used to treat peptic ulcer disease. Which drug class would the instructor be least likely to include in the presentation?
A) Antibiotics B) Proton pump inhibitors C) Histamine antagonists D) Prokinetics
A pediatric nurse is educating the client with sickle cell disease and the client's family regarding the genetic implications of the disease. Which information is inappropriate for the nurse to share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%. B) The disorder is transmitted as an autosomal recessive genetic defect. C) The sickle cell gene may have originated to protect against lethal forms of malaria. D) In African-Americans, sickle cell disease occurs in 1 out of every 500 births.
In dealing with the weights that are applying traction, the nurse should:
1. remove them to pull the patient up in bed. 2. hold them while the patient is changing position in bed. 3. hold them for a few minutes if the patient complains of pain. 4. allow them to hang freely.