Which of the following assessment findings of a postoperative knee replacement would the nurse report to the physician?
A) Drainage of the wound is 200 mL the second postoperative day.
B) The patient has 10 degrees of extension the first postoperative day.
C) The patient has 90 degrees of flexion on the day of discharge.
D) The patient is unable to bear full weight on the second postoperative day.
Ans: A
Feedback: Wound drainage should be less than 25 mL within 48 hours postoperative.
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Which of the following would be most appropriate when massaging a woman's fundus?
A) Place the hands on the sides of the abdomen to grasp the uterus. B) Use an up-and-down motion to massage the uterus. C) Wait until the uterus is firm to express clots. D) Continue massaging the uterus for at least 5 minutes.
The nurse teaching a client with gastroesophageal reflux disorder (GERD) about digestion explains that the process is regulated by:
Standard Text: Select all that apply. 1. hormones. 2. the sympathetic nervous system. 3. medications. 4. peristalsis. 5. the parasympathetic nervous system.
Upon discharge, make sure the infant is fastened into a properly-secured car seat.
Answer the following statement true (T) or false (F)
A woman in labor has just received an epidural block. The most important nursing intervention is to:
a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia.