A patient had a cesarean birth 3 days ago. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, the nurse recognizes that the patient will most likely be:
1. Encouraged to ambulate freely.
2. Given aspirin 650 mg by mouth.
3. Given Methergine IM.
4. Placed on bed rest.
4
Rationale 1: Ambulation would increase the inflammation.
Rationale 2: Aspirin 650 mg by mouth has anticoagulant properties, but usually is not necessary unless complications occur.
Rationale 3: Methergine is given only for postpartum hemorrhage, and would only cause vasoconstriction of an already inflamed vessel.
Rationale 4: These symptoms indicate the presence of superficial thrombophlebitis. The treatment involves bed rest, elevation of the affected limb, analgesics, and use of elastic support hose.
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Crisis stabilization provides care to clients in treatment settings with the purpose of reestablishing homeostasis; it usually lasts for _____ days
a. 1 to 2 b. 2 to 4 c. 4 to 6 d. 6 to 8
Results of a patient barium swallow suggest that the patient has GERD. The nurse is planning health education to address the patient's knowledge of this new diagnosis. Which of the following should the nurse encourage?
A) Eating several small meals daily rather than 3 larger meals B) Keeping the head of the bed slightly elevated C) Drinking carbonated mineral water rather than soft drinks D) Avoiding food or fluid intake after 6:00 p.m.
A patient has experienced excessive losses of bicarbonate and has subsequently developed an acid–base imbalance. How will this lost bicarbonate be replaced?
A) The kidneys will excrete increased quantities of acid. B) Bicarbonate will be released from the adrenal medulla. C) Alveoli in the lungs will synthesize new bicarbonate. D) Renal tubular cells will generate new bicarbonate.
During a postpartum examination of a patient who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina
The assessment finding that would necessitate follow-up would be the: 1. Firm fundus. 2. Fundus at the umbilical level. 3. Moderate lochia rubra. 4. Steady trickle of blood.