The charge nurse is analyzing a postpartum client's risk for hemorrhage. Which client has the greatest risk for postpartum hemorrhage?
1. The client who went overdue and delivered vaginally
2. The client who delivered by a scheduled cesarean delivery
3. The client who had oxytocin augmentation of labor
4. The client who delivered vaginally at 36 weeks
3
Rationale:
1. The client who was overdue is not at as great a risk for postpartum hemorrhage.
2. The client who delivered by cesarean is not at as great a risk for postpartum hemorrhage.
3. Uterine atony is a cause of postpartal hemorrhage. A contributing factor that can cause uterine atony is oxytocin augmentation of labor.
4. The client who delivered vaginally at 36 weeks is not at as great a risk for postpartum hemorrhage.
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Which of the following typically occurs between 5 and 7 months of age?
a. closure of the posterior fontanel b. development of the frontal sinus c. eruption of the first lower central incisors d. salivation and production of tears
The nurse is caring for a patient infected with methicillin-resistant 1 Staphylococcus aureus (MRSA). What's the major infection control measure to reduce MRSA and other nosocomial pathogens in a health care setting?
A) Using antibacterial soap when bathing patients with MRSA B) Conducting culture surveys periodically C) Ensuring that personnel wash their hands before and after contact with every patient D) Using specific housekeeping practices for environmental cleaning
A patient tells the nurse that he is upset because his surgical wound is infected, and everyone else that he knows who had the same surgery did not have the same problem. How should the nurse respond to this concern?
1. "There really is nothing that could be done to prevent it." 2. "You should talk to your surgeon about your concerns." 3. "At least you are in the hospital when the infection started and not at home." 4. "Developing an infection depends on many factors, even things like age and gender."
A nurse is talking to a client about their medications. The client tells the nurse that one of the medications on the list is on a negative formulary list and asks what this means. What is the best response by the nurse?
1. This means the medication can only be dispensed using the trade name medication. 2. This means the medication can only be dispensed using the generic medication. 3. This means the medication cannot be dispensed until the order is verified with the physician a second time before dispensing the trade name medication. 4. This means the medication can be dispensed as either the generic or trade name medication.