Which assessment finding could indicate hemorrhage in the postpartum patient?
a. Firm fundus at the midline
b. Saturation of two perineal pads in 4 hours
c. Elevated blood pressure
d. Elevated pulse rate
D
An increasing pulse rate is an early sign of excessive blood loss.
A firm fundus indicates that the uterus is contracting and compressing the open blood vessels at the placental site.
Saturation of one pad within the first hour is the maximum normal amount of lochial flow. Two pads within 4 hours is within normal limits.
If the blood volume were diminishing, the blood pressure would decrease.
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The neonatal nurse assesses newborns for iron-deficiency anemia. Which of the following newborns is at highest risk for this disorder?
A) A postterm newborn B) A term newborn with jaundice C) A newborn born to a diabetic mother D) A premature newborn
The nurse is providing discharge teaching to a client with cardiomyopathy. The nurse should instruct the client to:
1. Avoid strenuous activity and allow time for rest periods. 2. Take vitamin B12 supplements daily. 3. Maintain a daily intake of vegetables high in vitamin K. 4. Keep the lower extremities elevated whenever sitting.
The liver plays a major role in homeostasis by:
a. synthesizing factor I but not factor II. b. synthesizing clotting factors without the need for vitamin K. c. removing active clotting factors from the circulation. d. synthesizing factor II but not factor I.
As a nursing assistant you will find many cultural differences among coworkers and patients and it is best to?
A) Keep an open mind. B) Do not make snap judgments. C) Do not bias your expectations before you get more facts. D) all of the above