Shortly after delivery a client experiences a shaking chill. What is the nurse's MOST appropriate action?
a. Cover her with a warmed blanket.
b. Notify her health care provider of this development.
c. Obtain a culture of her lochia.
d. Take her temperature.
A
Due to the change in the increased metabolic rate during delivery, the client may experience a shaking chill. Nursing interventions would include covering the client with a warmed blanket and applying a second blanket on top to retain the heat.
You might also like to view...
A home health care nurse notes a parent becoming irritated when his toddler repeatedly throws his rattle from the high chair to the floor. What action by the nurse is most appropriate?
a. Teach the parent about age-appropriate discipline. b. Educate the parent on age-appropriate behaviors. c. Tell the parent to stop giving the rattle back to the child. d. Assess the child for signs of abuse or neglect.
The nurse is planning care for a patient. She is using a standardized care plan for Impaired Walking related to left-side weakness. Which of the following activities will the nurse perform when individualizing the plan for the patient?
1) Validating conflicting data with the patient 2) Transcribing medical orders 3) Stating the frequency for ambulation 4) Performing a comprehensive assessment
How much physical activity is recommended for good health?
a. an hour every day b. half an hour a day c. an hour a day for five days of the week d. half an hour a day for five days of the week
When transferring a conscious patient from a stretcher to the bed,
A. lock the wheels of the stretcher only and raise the near rail. B. remove the bath blanket covering the patient before beginning the transfer. C. adjust the height of the bed so it is higher than the stretcher. D. use a sheet, and arrange for others to help.