During the postpartum assessment, the perinatal nurse notes that a patient who has just experienced a forceps-assisted birth now has a large quantity of bright red bleeding. Her uterine fundus is firm
The nurse's most appropriate action is to notify the physician/certified nurse midwife and describe a:
A) Need for vaginal assessment and repair
B) Requirement for an oxytocin infusion
C) Need for further information for the woman/family about forceps
D) Requirement for bladder assessment and catheterization
A
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A client scheduled for surgery has been taking garlic supplements. Which action is most important for the nurse to take?
a. No action is necessary because the herbal agent is harmless. b. Notify the charge nurse that the client has been taking garlic. c. Note the information on the client's record and place in the chart. d. Notify the surgeon that the client has been taking garlic capsules.
The nurse is breaking client confidentiality when:
A) the nurse reports that a postpartum client has multiple bruises on the abdomen that she relates were the result of spousal abuse. B) the nurse reports to the local health department that a client has tested positive for rubella. C) the nurse reports to a nurse supervisor that a newly diagnosed pregnant adolescent has threatened suicide. D) the nurse calls the parents of a 14-year-old who has requested birth control.
A patient is being monitored for fluid volume with the use of a device that measures the resistance to the flow of electrical current. The technology being used to assess this patient would be
1. impedance cardiography. 2. Doppler. 3. pulse contour analysis. 4. pulse oximetry.
The home care assistant should prepare a list of telephone numbers, including
A. supervising nurse. B. the client's friends. C. close neighbors. D. dentist.