A postpartum patient is at increased risk for postpartum hemorrhage if she delivers a(n)
a. 5-lb, 2-oz infant with outlet forceps
b. 6.5-lb infant after a 2-hour labor
c. 7-lb infant after an 8-hour labor
d. 8-lb infant after a 12-hour labor
B
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A This woman is at risk for lacerations because of the forceps.
B A rapid (precipitous) labor and delivery may cause exhaustion of the uterine
muscle and prevent contraction.
C This is a normal labor progression. Less than 3 hours is rapid and can produce
uterine muscle exhaustion.
D This is a normal labor progression. Less than 3 hours is a rapid delivery and can
cause the uterine muscles not to contract.
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A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV fluconazole as a first-line treatment. When administering this medication, the nurse should
A) administer the drug with lactated Ringer's. B) infuse the drug no faster than 200 mg/h. C) avoid administering the drug through a peripheral IV. D) administer prophylactic heparin prior to the fluconazole.
The nurse assesses a client who has a severe burn injury. Which statement indicates the client understands the psychosocial impact of a severe burn injury?
a. "It is normal to feel some depression." b. "I will go back to work immediately." c. "I will not feel anger about my situation." d. "Once I get home, things will be normal."
A nurse is caring for an elderly client with a respiratory disorder. The nurse assesses which in the client as a result of aging?
A) Hypothermia as a response to illness B) Intermittent fevers C) A lower baseline body temperature D) Presence of febrile response
The nurse is documenting on the patient's record and notes that he or she has made an error. What action should the nurse take?
a. Draw a line through the error, and initial and date it. b. Erase the error, and write over the material in the same spot. c. Use a dark-coloured marker to cover the error, and continue immediately after that point. d. Footnote the error at the bottom of the page, including initials and the date.