The first two postpartum assessments following the delivery of twins have been within normal limits. During the third assessment, the nurse finds that the fundus is "boggy" and the lochial flow has increased
The nurse expresses several large clots with moderate fundal massage. The fundus becomes firmer with the fundal massage. Which action should the nurse take next? a. Administer oxytocin (Pitocin) according to p.r.n. order.
b. Notify the physician because the client needs surgery.
c. Notify the physician because the site of the bleeding must be located.
d. Reapply perineal pad, and tell the client to hold her thighs together tightly.
A
The nurse's next step would be to administer oxytocin (Pitocin) according to p.r.n. order. Oxytocin causes the uterus to contract.
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Which of the following factors are necessary to assume there might be a cause-effect relationship between a particular variable A and a specific illness? (Select all that apply.)
a. It is easy to understand how the variable A could lead to the illness. b. Research studies consistently demonstrate a relationship between variable A and the illness. c. The illness is frequently seen without the presence of variable A. d. The more of variable A present, the sicker the person becomes. e. Variable A is always found after the person becomes ill. f. Variable A is never found in the presence of other illnesses.
Reward power and coercive power are commonly used to influence others. The effective use of rewards for staff nurses is all of the following except:
a. increased salary for obtaining the next rung on the clinical ladder. b. formal recognition before one's nursing peers at an awards ceremony. c. one additional paid day off for each year you are with the organization. d. increased workload for displaying excellence in patient care outcomes.
Based on the expected role of an entry-level LPN/LVN, which patient could be safely assigned to the care of a new LPN/LVN?
a. A newly hospitalized patient who has disseminated intravascular coagulation syndrome b. A patient receiving physical therapy after a total knee replacement in a nursing home rehabilitation unit c. A home health care case consisting of a mother and a newborn with spina bifida and a ventricular peritoneal shunt for hydrocephalus d. A newly admitted patient experiencing a manic episode who is awaiting test results before beginning lithium therapy
A nurse is required to apply a binder to hold a perineal dressing in place. Which should
the nurse use for the client? A) T-binder B) Montgomery strap C) 3M Micropore D) Abdominal binder