The home care nurse is seeing a client at six weeks postpartum. Which statement made by the client requires immediate intervention?
1. "The baby sleeps seven hours each night now."
2. "My flow is red, and I need to wear a pad."
3. "My breasts no longer leak between feedings."
4. "I started back on the pill two weeks ago."
2
Rationale:
1. This is an expected finding, and does not require intervention.
2. By six weeks postpartum, lochia should be minimal in amount, requiring only a pantiliner, and should be brown or pinkish in color. Red, heavy flow is not an expected finding, and requires intervention.
3. This is an expected finding, and does not require intervention.
4. This is an appropriate time frame for restarting birth control pills, and does not require intervention.
You might also like to view...
A patient is receiving omalizumab (Xolair) to treat allergic asthma, which is not relieved by inhaled corticosteroids. Which nursing intervention is appropriate with each dose administration of omalizumab?
A) Assess for cancer B) Avoid high-fat foods C) Have epinephrine available D) Administer a corticosteroid
After an acute myocardial infarction, a 59-year-old patient develops a new dysrhythmia. Antidysrhythmic drugs, such as beta blockers, are first-line treatment for:
a. supraventricular tachycardia. b. ventricular premature beats. c. atrial flutter. d. atrial fibrillation.
The nurse is using critical thinking to better understand a patient. The nurse is working in which part of the nursing process?
1. Implementation 2. Nursing diagnosis and outcome identification 3. Assessment 4. Planning
As stated by the Frank-Starling law, there is a direct relationship between the _____ of the blood in the heart at the end of diastole and the _____ of contraction during the next systole
a. pressure; duration b. volume; force c. viscosity; force d. viscosity; duration