The nurse assesses an 8-hour-postpartum patient. Findings include lochia rubra, with a firm fundus at the level of the umbilicus. What nursing action is indicated?
1. Massage the fundus to prevent early postpartum hemorrhage.
2. Administer Methergine to stop the bleeding.
3. Call the physician/CNM and prepare for a pelvic exam.
4. Document findings, and continue to monitor.
4. Document findings, and continue to monitor.
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The physician has not ordered a dressing change for a draining wound on a patient in an acute care setting. How should the nurse assess the amount of drainage?
a. Weigh the patient to estimate the weight of the saturated dressing b. Reinforce the dressing c. Circle and date the outline of the exudate on the dressing d. Count each dressing as 1 mL of drainage
Which of the following instructions should a nurse provide a client with alcohol dependence who is prescribed disulfiram?
A) Maintain bed rest for 1 hour after medication. B) Avoid mixing disulfiram and alcohol. C) Avoid driving for 3 hours after medication. D) Take in adequate fluids before medication.
A male patient is admitted for removal of a bladder papilloma. What should the nurse assess in this patient?
1. history of cigarette smoking 2. daily fluid intake 3. pedal pulses 4. appetite level
When caring for families anticipating the death of a child, a family member may become violent. The pediatric nurse identifies this behavior as a(n) ____________ reaction to grief
Fill in the blank(s) with correct word