PN Comprehensive Online Practice 2023 A Questions and Answers 100% Correct

A nurse is assisting in the care of a client who is 1 hr postpartum. Exhibit 1 Nurses' Notes 1200: Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths above the umbilicus.Oxytocin 20 units being administered via continuous IV infusion 1215: Large amount of lochia rubra with several large clots noted. Client reports feeling anxious. Skin cool and clammy. Provider notified. Exhibit 2 Vital Signs 1200: Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratorySelect the 6 actions the nurse should take. Weigh the perineal pads. Insert an indwelling urinary catheter. Administer methylergonovine. Provide emotional support. Administer oxygen at 12 L/min via nonrebreather face mask. Firmly massage the uterine fundus. When taking action for the client, the nurse should firmly massage the uterine fundus, administer methylergonovine, weigh the perineal pads, provide emotional support, insert an indwelling urinary catheter, and administer oxygen at 12 L/min via nonrebreather face mask. The nurse should identify that the client is experiencing a postpartum hemorrhage, which requires immediate intervention to prevent hemorrhagic shock. A nurse is collecting data from a client who is scheduled for surgery. Exhibit 1 Vital Signs 0630: Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate 20/minBlood pressure 122/76 mmHgOxygen saturation 96% on room air 0730: Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate 20/minBlood pressure 128/78 mmHgOxygen saturation 95% on room air Exhibit 2 Nurses' Notes 0630: Client reports restlessness and inability to sleep more than 3 to 4 hr per night for the last week. CliClick to highlight the data collection findings that the nurse should report to the provider prior to the procedure. To deselect a finding, click on the finding again. Hemoglobin level Allergy Family history When collecting data from the client and analyzing cues, the nurse should determine the client's hemoglobin level, latex allergy, and family history of malignant hyperthermia should be reported to the provider. When the client's hemoglobin level is below th