The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate?
1. Assess fundus and bladder status.
2. Catheterize the client.
3. Administer Methergine IM per order.
4. Contact the physician immediately.
1
Explanation: 1. The amount, consistency, color, and odor of the lochia are monitored on an ongoing basis. Increased bleeding is most often related to uterine atony and responds to fundal massage, expression of any clots, and emptying the bladder.
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A patient with a history of opioid abuse will be discharged home with buprenorphine to help prevent relapse. Which product will the nurse anticipate the provider to order?
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A client is ordered bethanechol chloride (Urecholine) for urinary retention. A nurse is adding up the client's intake and output for the 8-hour shift. The client's I = 850 mL, O = 350 mL. What should the nurse do?
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