If the nurse suspects a uterine infection in the postpartum patient, she should assess the
a. Pulse and blood pressure
b. Odor of the lochia
c. Episiotomy site
d. Abdomen for distention
B
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A The pulse may be altered with an infection, but the odor of the lochia will be an
earlier sign and more specific.
B An abnormal odor of the lochia indicates infection in the uterus.
C The infection may move to the episiotomy site if proper hygiene is not followed.
D The abdomen becomes distended usually because of a decrease of peristalsis,
such as after cesarean section.
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Which of the following medication orders is to be administered PRN?
a. Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep b. Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days c. Humulin R 10 units subcutaneously before each meal and at bedtime d. Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery
A patient is admitted with pale, cool skin, midsternal chest pain unrelieved with rest, and a history of CAD. The nurse is aware that:
A) The symptoms indicate angina and should be treated as such. B) The symptoms indicate anxiety and should be treated as such. C) The symptoms indicate an acute coronary episode and should be treated as such. D) Treatment should be held until an ECG is completed.
Which intervention does the nurse recognize as a collaborative intervention?
A) Teach the client how to walk with a three-point crutch gait. B) Administer spironolactone (Aldactone). C) Perform tracheostomy care every eight hours. D) Straight catheterize every six hours.
The nurse approaches a group of school-age patients to administer medication to Sam Hart. To identify the correct child, the nurse should:
a. Ask the group, "Who is Sam Hart?" b. Call out to the group, "Sam Hart?" c. Ask each child, "What's your name?" d. Check the patient's identification name band.