The nurse is caring for a postpartum client who is at risk for developing early postpartum hemorrhage
What interventions would be included in the plan of care to detect this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Weigh perineal pads if the client has a slow, steady, free flow of blood from the vagina.
2. Massage the uterus every 2 hours.
3. Maintain vascular access.
4. Obtain blood specimens for hemoglobin and hematocrit.
5. Encourage the client to void if the fundus is displaced upward or to one side.
1, 4
Explanation: 1. Weighing the perineal pads will indicate whether the client is bleeding more than anticipated.
4. The nurse reviews hemoglobin and hematocrit levels when available, and compares them to the admission baseline.
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A patient has been diagnosed with osteoporosis and asks the nurse, "What is osteoporosis?" The nurse explains that osteoporosis is defined as:
a. Increased bone matrix. b. Loss of bone density. c. New, weaker bone growth. d. Increased phagocytic activity.
The nurse is assisting a pregnant patient learn gating control mechanisms to control pain during labor. Which techniques will the nurse teach the patient? (Select all that apply.)
A) Distraction B) Reducing anxiety C) Receiving an epidural D) Cutaneous stimulation E) Use of patient-controlled analgesia
The client drinks 48 ounces of water during the shift. How many quarts did the client drink?
1. 1 2. 1.5 3. 2 4. 3
The client has been started on Zyflo. The nurse's highest priority intervention while the client is receiving this medication is to monitor:
a. liver enzymes. b. serum glucose. c. calcium level. d. potassium level.