A postpartum woman who had a prolonged labor presents to the clinic complaining of abdominal pain, high fevers with chills, and back pain. The nurse notes the patient's heart rate is 142 beats/minute,

and her abdomen is tender with hypoactive bowel sounds. The patient will be admitted, and when giving report to the hospital nurse, the clinic nurse advises that the patient will probably receive what initial treatment? (Select all that apply.)
A.
Antibiotics
B.
Coumadin
C.
Forced fluids
D.
Heparin
E.
Ibuprofen (Motrin)


ANS: A, C, D, E
This woman has manifestations of a septic pelvic thrombophlebitis. Initial treatment includes rest; compression stockings; a high-protein, high-vitamin C diet; antibiotics; increased fluids; heparin; and ibuprofen for fever and pain. Coumadin may be needed for long-term therapy but not as a first-line treatment.

Nursing

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A nurse is assessing a client who has a tracheostomy. The nurse notes that the tracheostomy tube is pulsing with the heartbeat as the client's pulse is being taken. No other abnormal findings are noted. What action by the nurse is most appropriate?

a. Call the operating room to inform them of a pending emergency case. b. No action is needed at this time; this is a normal finding in some clients. c. Remove the tracheostomy tube; ventilate the client with a bag-valve-mask. d. Stay with the client and have someone else call the provider immediately.

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Which of the following interventions does not promote sleep in the ICU patient?

A) Five-minute back rub B) Leave television on C) Turn down lights D) Block sleep times

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Medication administration is what type of nursing intervention?

a. Independent b. Dependent c. Collaborative d. Interdisciplinary

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The nurse is doing preoperative teaching with a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What preoperative teaching should the nurse be sure to include for this patient?

A) Menstrual periods will continue to occur for several months, some of them heavy. B) Normal activity will be permitted following surgery. C) After a hysterectomy, hormone levels remain balanced. D) Bladder must be emptied prior to surgery and a catheter may be placed during surgery.

Nursing