A nurse is assigning care of postpartum patients to a licensed vocational nurse (LVN). Which postpartum patient is at the greatest risk for postpartum bleeding from uterine atony, and should not be delegated to an LVN's care?
1. A breastfeeding postpartum patient
2. A postpartum patient who began early ambulation
3. A patient who delivered vaginally after a prolonged labor
4. A primiparous patient
3
Rationale 1: A breastfeeding patient would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.
Rationale 2: A postpartum patient who ambulates early would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.
Rationale 3: The patient at greatest risk for postpartum hemorrhage because of uterine atony is the patient who had a prolonged labor.
Rationale 4: A primiparous patient would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.
You might also like to view...
An older patient is recovering from abdominal surgery. Which skin changes will the nurse consider when planning care for this patient?
1. The healing time is increased. 2. The healing time is decreased. 3. There is a need to keep the wound edges taped. 4. Skin near the wound needs to be massaged to increase blood flow.
An older diabetic client feels shaky and checks his blood glucose level with his blood glucose monitor. The blood sugar is 44. The client knows that he should eat 10 to 15 grams of carbohydrates immediately
Which is the best food choice for this client? A) a half cup of diet soda pop B) half of an apple with the peel C) a half cup of orange juice D) three to five pieces of sugar-free candy
The labor and delivery nurse is caring for a patient whose labor is being induced due to fetal death in utero at 35 weeks' gestation. In planning intrapartum care for this patient, which nursing diagnosis is most likely to be applied?
1. Powerlessness 2. Ineffective Elimination 3. Effective Family Coping 4. Energy Field Disturbance
The nurse admitting a client to the unit is obtaining information regarding the client's spiritual practices. Which questions should the nurse include in the assessment? Select all that apply.
A. "How do your spiritual beliefs influence your health?" B. "Would you like your spiritual leader to be contacted?" C. "Would you feel more comfortable with your family present?" D. "Are there any dietary restrictions associated with your spiritual practice?" E. "Do you have any rituals that you perform at certain times of the day?"