The client delivered her first child vaginally 7 hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 mL/hr. Her fundus is firm and to the right of midline. What is the best nursing action?
1. To massage the fundus vigorously
2. To assess the client's pain level
3. To increase the rate of the IV
4. To assist the client to the bathroom
4
Explanation: 4. Emptying the bladder is the top priority.
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The patient has a temporary percutaneous catheter in place for treatment of acute kidney injury. The catheter has been in place for 5 days. The nurse should:
a. prepare to assist with a routine dialysis catheter change to replace the existing catheter. b. evaluate the patient for signs and symptoms of infection. c. teach the patient that the catheter is designed for long-term use. d. use one of the three lumens for fluid administration.
In addition to sample bias and ethical issues (e.g., securing consent, assuring anonymity, and protecting site security), a third concern about factors that may affect the credibility of Internet-mediated study findings is
a. The interviewer's ability to establish rapport with study participants b. The fact that use of a pseudonym might cause participants to make up information about the phenomenon c. The researcher's ability to transcribe the data gathered through online interviews d. Reliability and validity of data, although terms most often applied to quantitative research, might be an issue since the researcher can't verify whether or not participants meet inclusion criteria for the study
When precepting a nursing student on the oncology unit about nursing responsibilities related to client fluid and electrolyte balance, the nurse recognizes which response by the student indicates a need for further clarification?
a. "Intake and output must be recorded." b. "I should insert an indwelling catheter for accurate urine output readings." c. "I need to encourage the client to drink fluids." d. "I need to monitor the client's blood pressure."
During a phone follow-up conversation with a woman who is 4 days' postpartum, the woman tells the nurse, "I don't know what's wrong. I love my son, but I feel so let down. I seem to cry for no reason!"
The nurse would recognize that the woman is experiencing: a. Taking-in. c. Postpartum (PP) blues. b. Postpartum depression (PPD). d. Attachment difficulty.