The nurse admits a client who delivered 10 days ago to the obstetrician's office. The nurse asks how the client is doing, and the client responds, "Okay, I guess. I'm tired, but I hear all new mothers feel that way
I just feel like I have the flu, and my temperature has been slightly elevated." The nurse will ask this client: 1. "Have you noticed any painful red spots on your breast or change in vaginal discharge?"
2. "Do you have anyone at home to help you so you can get some rest occasionally without being interrupted by the baby?"
3. "How is the baby doing?"
4. "What method of birth control are you using?"
1
Rationale: It is not normal for a woman to feel flu-like and have a fever, so the nurse should question the origin of these symptoms, which is most likely mastitis or an infected episiotomy.
You might also like to view...
The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow's hierarchy of needs?
1. Self-esteem 2. Love and belonging 3. Safety 4. Self-actualization
The physician asks the nurse to instruct a patient on doing isometric exercises. The nurse should instruct the patient to:
1. contract the muscle for several seconds, then relax the muscle for a few seconds, and contract it again. 2. perform full range-of-motion exercises of each joint. 3. have a family member perform full range-of-motion exercises on each of the pa-tient's joints. 4. stand in front of a wall and push with the arms without bending the elbow.
A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
A) Assault B) Battery C) Fraud D) Negligence
A nurse is caring for a child experiencing seizures. Which of the following are conditions for which the child is at risk? Select all that apply
A) Hypertension B) Hypoxia C) Vomiting D) Hypothermia E) Pulmonary aspiration F) Pulmonary aneurysm