The nurse is preparing to assess assigned clients on a postpartum unit. Which client should be seen first?
1. Multipara, second day postcesarean, moderate lochia serosa
2. Primipara, day of delivery, fundus firm 2 cm above umbilicus
3. Multipara, first postpartum day, 4 cm diastasis recti abdominis
4. Primipara, first postpartum day, hypoactive bowel sounds all quadrants
2
Explanation:
1. This client is not experiencing any unexpected findings.
2. This client is the top priority. The fundus should not be positioned above the umbilicus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding.
3. This finding is normal, especially in a multiparous client.
4. Bowel sounds are often decreased after delivery.
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A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV). Which statement by the nurse is accurate?
a. "Gardasil protects against all HPV strains." b. "You are too young to receive the vaccine." c. "Only females can receive the vaccine." d. "This will lower your risk for cervical cancer."
The patient with -thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an education session for the patient. Which statement should the nurse include?
1. "You need to increase your intake of meat and other iron-rich foods." 2. "Your low hemoglobin could put you into preterm labor." 3. "Increasing your vitamin C intake will help your hemoglobin level." 4. "You should not take iron or folic acid supplements."
The part of the skin that supplies support, insulation, nutrition, and cushioning or padding is the
A. subcutaneous layer. B. peridermis. C. epidermis. D. dermis.
Which of the following are diet modifications for a client who has suffered a myocardial infarction? Select all that apply.
A) Nothing by mouth while shock persists B) Fewer, large meals C) Progress from a liquid diet to a soft diet D) Fluid is given intravenously E) Dry, chunky food is avoided