The nurse assesses the fundus of a client who delivered 6 hours ago and notes that it is 2 centimeters above the umbilicus and is displaced to the right. Which is the nurse's best action at this time?
A. Begin to massage the fundus.
B. Attempt to move the fundus back to midline.
C. Request the client go to the bathroom and void.
D. Determine if this client has had more than one child in the last 3 years.
Answer: C
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a. Angelica (dong quai) b. Chamomile c. Ginseng d. Kava-kava
A patient's cardiac monitor shows sinus rhythm, rate 64. The P-R interval is 0.18 seconds at 1:00 AM, 0.22 seconds at 2:30 PM, and 0.28 seconds at 4:00 PM. Which action should the nurse take next?
a. Place the transcutaneous pacemaker pads on the patient. b. Administer atropine sulfate 1 mg IV per agency dysrhythmia protocol. c. Document the patient's rhythm and assess the patient's response to the rhythm. d. Call the health care provider before giving the next dose of metoprolol (Lopressor).
A 35-year-old woman reports lethargy, difficulty remembering things, facial edema, dry skin, and cessation of menses. The nurse notes a heart rate of 60 beats per minute and a weight increase of 5 pounds from a previous visit
The nurse will notify the provider of which possible condition? a. Cretinism b. Early menopause c. Hyperthyroidism d. Myxedema
A client is to recieve coumadin, what lab test should the nurse monitor?
a) CBC b) PT/INR c) aPTT d) Warfarin level