Two hours after delivery, a client's fundus is boggy, and has risen to above the umbilicus. The first action the nurse would take is to:
1. Massage the fundus until firm.
2. Express retained clots.
3. Increase the intravenous solution.
4. Call the physician.
1
Rationale:
1. Massage of the uterus has to occur before the expression of retained clots.
2. Massage of the uterus has to occur before the expression of retained clots.
3. Increasing the intravenous solution is not a priority in this case.
4. The physician does not need to be notified until either the uterus does not respond to massage or the bleeding does not decrease.
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The client has been taking fluvoxamine (Luvox) for years, has been symptom-free for one year, and is now considering taking a drug holiday. What nursing teaching is necessary?
1. The client should be symptom-free for at least two years before trying to go off the medication 2. The client should let the prescriber make these decisions and should not suggest this 3. A drug holiday should be avoided due to discontinuation symptoms 4. This is worth trying since the client has been symptom-free for a year
A nurse manager has provided education to emergency department nurses regarding disaster management. Which statement would the manager interpret as indicating understanding of this education?
1. "We should treat as many clients as possible as quickly as possible." 2. "Quick separation of any victim with bleeding wounds from those who are not bleeding is essential." 3. "Our goal is to treat those with serious injuries first." 4. "We should send those with less serious injuries home without treatment."
When the nurse uses the technique of reflecting, what is its most important therapeutic value?
A) It discourages "yes" or "no" answers. B) It encourages the patient to explore the meaning of his/her statement. C) It enhances the patient's trust in the nurse. D) It increases the patient's interest in the nurse's advice.
What information will a nurse find when reading a systematic review?
a. Results of randomized controlled trials b. A description of the methods used to search for evidence c. Data compiled on a particular question d. An in-depth review of the literature completed by one person