The nurse is caring for a woman who is 3 hours post-vaginal delivery of twins born at 38 weeks' gestation. The nurse recognizes an increased risk for which of the following?
a. Hemorrhage
b. Postpartum depression
c. Fatigue
d. Milk production
ANS: A
Overdistention of the uterus from a multiple birth places a woman at greater risk for postpartum hemorrhage than a woman who delivers a singleton.
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A patient will undergo an endoscopy with conscious sedation using midazolam (Versed). The nurse who is participating in this procedure should monitor the patient closely for signs of
A) increased intracranial pressure. B) respiratory depression. C) hemorrhage. D) rhabdomyolysis.
Nursing assessments must include questions regarding alcohol consumption because
a. It is a social problem that the LPN must ad-dress b. It can potentiate or decrease the effects of many other drugs c. It may be necessary for the LPN to plan on assisting the patient through alcohol with-drawal d. None of the above
The nurse is caring for a patient with a malignant brain tumor. The patient asks the nurse why the tumor is being treated with radiation instead of chemotherapy. The nurse's explanation involves what important information?
A) "Medications have difficulty crossing the blood–brain barrier." B) "Neurons in the brain are easily damaged by chemotherapy." C) "Tumors arising from nervous tissue are not impacted by chemotherapy." D) "Chemotherapy reduces nerve transmission and cannot be used."
Which statement about HIV postexposure prophylaxis (PEP) for health-care workers is the most accurate?
a. PEP should be started within hours after the exposure. b. PEP should be started within 72 hours after the exposure. c. Renal and hepatic function tests should be done 6 weeks after beginning PEP. d. PEP will prevent potential hepatitis C infection if present.