The perinatal nurse and student nurse are conducting an assessment on a postpartal woman. The nurse demonstrates percussion of the bladder. The dull, thudding sound that is heard is indicative of:
A) A full bladder
B) An empty bladder
C) An overdistended bladder
D) A bladder containing about 500 cc. of urine
B
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A patient is admitted to the emergency department (ED) in respiratory distress. The results of his first arterial blood gases were pH = 7.30; PCO2 = 40; HCO3 = 19 mEq/L; PO2 = 80
The nurse evaluates the patient's treatment plan by examining repeat arterial blood gases (ABGs). The results are pH = 7.38; PCO2 = 32; HCO3 = 19 mEq/L. The nurse concludes which of the following? a. Respiratory acidosis; the treatment plan is ineffective. b. Metabolic alkalosis; the treatment plan is effective. c. Partial compensation; the treatment plan is ineffective. d. Complete compensation; the treatment plan is effective.
The nurse is monitoring a pregnant woman who is at high risk for the development of disseminated intravascular coagulation (DIC). What physical assessment findings would indicate of DIC?
A) Urine clear without sediment at 40 mL/hr B) Oozing blood from all intravenous sites C) All vital signs within expected parameters for pregnancy D) Absence of elevated protein in urine or serum
A 56-year-old grandmother has been admitted to the hospital with a fever of 103.2° F after caring for her 5-year-old granddaughter who also developed a fever
The health care provider has ordered blood cultures, antibiotics, antipyretics, a clear liquid diet, and a chest radiograph. Which of the orders should the nurse do first? a. Administer antibiotic. b. Administer antipyretic. c. Draw blood cultures. d. Apply water cooled blankets.
A nurse is assessing a patient with hypoparathyroidism. Clinical manifestations of hypoparathy-roidism include: (select all that apply)
a. tetany. b. Chvostek sign. c. Trousseau sign. d. oily skin. e. hair loss.