A nurse is planning care for a client who is 2 hr. This preview shows page 2 - 4 out of 5 pages. 9. A nurse is planning care for a client who is 2 hr postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care? a . The nurse locates the client's fundus 2 cm above the umbilicus, with displacement to the right of the midline, and notes it is boggy. The nurse should identify which of the following complications as the likely cause of these findings Auscultate the client's left arm for a bruit every 4 hr. Compare blood pressure in both arms every 2 hr. Instruct the client to keep the left arm in a dependent Question : A nurse is planning care for a client who is postoperative following creation of an arteriovenous fistula in the left arm 102. A nurse is assessing a client who is 2 hrs postpartum for uterine atony. Which of the following action should the nurse take? A. Monitor the client's urinary output B. Check the client VS C. Evaluate the client's pain level D. Palpate the client's fundus 103. A school nurse is teaching a parent about absence seizures
The nurse knows the care plan will likely be based on which diagnosis? Baby blues ; Postpartum depression A nurse is reviewing orders and notices that a 4-hr postpartum client has orders for ice packs and PO ibuprofen. A nurse is caring for a postpartum client who has severe hemorrhoids that developed during pregnancy 32. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? Blood pressure 142/92 mm Hg. Urine output 100 mL in hr . Pulse 58/min. Respiratory rate 14/min. 33 A nurse is creating a plan of care for a pt. who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? Protect the client's head and feet from cold air. A nurse on a postpartum unit is caring for a pt. who is experiencing hypovolemic shock
C. W ear gloves when providing care to the client. D. Wear a mask when changing the linens in the client's room. 6.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Perform an ECG every 12 hr Chapter 11 Nursing Care of the Client During the Postpartum Period. includes physiological and psychosocial adjustments. This period begins at the start of the fourth stage of labor (1 to 4 hr after the delivery of the placenta) and ends when the body returns to the prepregnant state
Postpartum hemorrhage is the excessive bleeding following delivery of a baby. For vaginal delivery, excessive bleeding would be more than 500ml and for cesarean delivery, more than 1000ml. This may happen with vaginal or cesarean delivery and occurs in 1-5 out of 100 women. The hemorrhage may occur immediately after birth, or over several hours. ATI MATERNAL NEWBORN PROCTORED EXAM (CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS) A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification
Question 1: A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend? Calcium Folate Vitamin B12 MagnesiumQuestion 2: A nurse is caring for a client who had a stroke and has manifestations of dysphagia. Which of the following interventions should the nurse take? Tilt the. Anti/Intra/Postpartum and Newborn Care: NCLEX-RN. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of antepartal, intrapartal, postpartum, and newborn care in order to: Assess client's psychosocial response to pregnancy (e.g., support systems, perception of pregnancy, coping mechanisms 108. A nurse is assessing a client who is 2 hr postpartum for uterine atony. Which of the following actions should the nurse take? a. palpate the clients fundus. b. evaluate the clients pain level c. monitor the clients urinary output d. check the clients vital signs 109 Nursing Interventions Rationale; Discuss client's view of infant care responsibilities and parenting role. To provide information about how a client perceive these role changes that will help in identifying areas of learning need. Explain the factors that lead to the separation of mother and infant brought about by the postpartum hemorrhage The nurse should further evaluate the client for evidence of postpartum hemorrhage. A client report of dizziness or feeling faint upon standing is an expected finding in the first 48 hr postpartum. This is the result of large fluid shifts and altered hormone levels. At 12 hr after delivery, the fundus should be at the level of the umbilicus.
A nurse is planning to reinforce teaching regarding a newborn immunization with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? A nurse is planning to reinforce teaching with a client about the adverse effects of simvastatin Gestational Diabetes Mellitus (GDM) is a condition of abnormal glucose metabolism that arises during pregnancy. Blood sugar usually returns to normal soon after delivery. But having gestational diabetes makes it more likely to develop type 2 diabetes. Nursing Care Plans. The plan of nursing care involves providing client and/or couple with information regarding the disease condition, teaching. Using the attached textbook describe the pathophysiology of placenta previa and postpartum hemorrhage as it pertains to maternal nursing. For each topic provide risk factors, expected finding, client presentation, laboratory findings, key nursing care/ interventions, medication used and treatment options
Options A, B, and D: Although promoting comfort and restoration of health, exploring the family's emotional status, and teaching about family planning are important in postpartum/newborn nursing care, they are not the priority focus in the limited time presented by early postpartum discharge Instruct the client to return to the hospital if bleeding recurs and to avoid intercourse until after the birth. Instruct the client on proper handwashing and toileting to prevent infection. 3. Address emotional and psychosocial needs. Offer emotional support to facilitate the grieving process, if needed
A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. The nurse manager is planning to use progressive discipline to address this problem. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance The nurse should remind to take the medication. When collecting data from a client who has atrial fibrillation, the nurse would expect his pulse to be nr 324 midterm exam. The nurse is caring for a client receiving nifedipine (Procardia). When the nurse checks the client's BP prior to administering the medication, it is 98/58 The American College of Obstetricians and Gynecologists recommends that postpartum care be an ongoing process rather than just a single visit after your delivery. Have contact with your health care provider within the first three weeks after delivery. Within 12 weeks after delivery, see your health care provider for a comprehensive postpartum.
A nurse is teaching a client about family planning and the proper use of an intrauterine device. Which of the following client responses indicates an understanding of the teaching? A.I will need to get this device replaced in 2 years. B.I might not be able to get pregnant for 6 months after the device is removed. C The nurse may hold values that could influence the care of the client. Correct response: The nurse may hold values that could influence the care of the client. Explanation: Question 3 See full question. A group of nursing students are reviewing current nursing Codes of Ethics. Such a code is important in the nursing profession because The nurse first asks the client to: 1.Turn on her side 2.Lie flat on her back with the knees and legs flat and straight 3.Urinate and empty her bladder 4.Massage the fundus gently Nursing care of the Postpartum Woman Physiologic Assessments Breasts, Legs Assess every four hours in the first twenty-four hours Then assess every 8 hours thereafter. Question 2 Explanation: C Intermittent or continuous loss of a small amount of blood over extended periods will lead to a decreased hemoglobin level; 8.5 g/dL is below the expected hemoglobin range for men (14 to 18 g/dL) and women (12 to 16 g/dL). A This serum iron level is within the expected range of 60 to 180 mcg/dL
CERTIFIED NURSE-MIDWIFERY CARE OF THE POSTPARTUM CLIENT A Descriptive Study Ann Morten, CNM, RNC, MS, Melanic Kohl, CNM, MS, Prairie O'Mahoney, CNM, MS, FNP, and Kate Pelosi, CNM, MS ABSTRACT This article present;, the findings of a small, descriptive, exploratory study aimed at identifying the content and process components of certified nurse-midwifery care in the postpartum period The nurse is assigned to care for a client who has chosen to formula-feed her infant. The nurse will plan to instruct the client to: asked Oct 25, 2016 in Nursing by london_guy. 1. Apply a heating pad to breasts for comfort. The postpartum client has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include
. Which of the following actions should the nurse include in the plan of care? A nurse is assessing a client 1 hr following birth and notes that her uterus is boggy and located 2 cm above the umbilicus. Which of the following actions should the nurse take first NURSING CARE PLAN Acute Pain ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Mr. C. is a 57-year-old businessman who was admitted to the sur-gical unit for treatment of a possible strangulated inguinal hernia. Two days ago he had a partial bowel resection. Postoperative or
A nurse in the postanesthesia care unit notes that a client's left pupil is larger than the right pupil. The nurse should: Check the client's baseline dat We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime
NCLEX 50 practice questions: OB/GYN - Antepartum. A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the client and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the nurse's first action is to: Clean and maintain an open airway . High Risk Care Plan . 1. Repeat hct & 24 hr recall in 3 months. 2. See RD next month to: a. Reinforce appropriate dietary intake. b. Follow-up on referral to nurse practitioner or MD and suggestion for iron supplement. ____ Jul 14, 2020 - Brian Foster Focused Exam Chest Pain Completed Shadow Health Care Pla A nurse is providing discharge teaching for a client who had a laryngectomy. Because of early postpartum discharge and limited time for teaching, the nurse's priority is to facilitate the safe and effective care of the client and newborn. 4 In many rural centers, nurses routinely conduct vaginal deliveries
The nurse establishes a connection with the client and collaboratively discusses a plan of care that results in the client consenting to accept care and go to the emergency department/urgent care/walk in clinic with the nurse. the assessment and management of care and teaching for a postpartum family, in the context of a postpartum client. Postoperative care following appendectomy. Scenario Level. Prelicensure nursing students. Focus Area. Medical-surgical nursing course. Scenario Description. This scenario takes place at 7 a.m. in an acute care setting, in the room of a 59-year-old male who had an appendectomy following a perforated appendix the previous evening The charge nurse is making client assignments in the Intensive Care Department. The healthcare team consists of one registered nurse RN with 10 years experience one RN with 5 years experience and a new graduate RN who just completed a 12-week internship. Which client should the nurse assign to the new graduate RN? a
Nursing care plan. As a postpartum nurse, your next client is an LGA baby boy who... Nursing care plan. As a postpartum nurse, your next client is an LGA baby boy who was born at 37 weeks' gestation. He had Apgar scores of 8 and 9. He was circumcised. The mother is breastfeeding 2. During the early postpartum period, the nurse is evaluating a client's attachment to her neonate. Which type of parent has the most difficulty attaching to her newborn? A. One who has little knowledge of parent-infant attachment B. One who recently lost a job C. One whose father recently died D. One who is an only chil Nursing model paper series 2 - paper 14 Answers & PDF link is there at the end of this paper. Q. 1 The nurse is caring for a Patient after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin . The nurse is monitoring the condition of the postpartum client. As a part of the postpartum adaptations, the nurse monitors for descent of the uterus and expects the fundus to be: a. On the same level after delivery b. Decreased by 1 cm/day c. Decreased by 1.5 cm/day d. Decreased by 2 cm/day. 25
Nursing Care Plan for Edema. The nurses are the most significant part of a patient's journey towards recovery as they do not only take good care of the patient but try their utmost in making the patient feel comfortable. So here's care plans after the edema nursing diagnosis The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Ineffective Breathing Pattern, Dyspnea, Respiratory Distress Syndrome, Hypoxia, Acute Respiratory Failure, Hypoxemia, and Respiratory Illness. If you want to view a video tutorial on how to construct a care. A client with tuberculosis is to be admitted in the hospital. The nurse who will be assigned to care for the client must institute appropriate precautions. The nurse should: A. Place the client in a private room. B. Wear an N 95 respirator when caring for the client. C. Put on a gown every time when entering the room 12:34 AM Nursing Care Plan, Precipitous Labor 2 comments Rapid progression of labor, lasting less than 3 hr from onset to delivery, and out-of-hospital delivery are emergency situations that place the client/fetus at increased risk for complications and/or untoward outcomes 2. A client, who is a 24-year-old gravida 6, para 5, delivered a 10-pound, 10-ounce baby 6 hours ago, after a 26-hour labor. Upon assessment, an NURSE finds the client's fundus is 2 fingerbreadths above the umbilicus and slightly deviated to the right. Based on the information provided, for which complication is this client at risk?
Question: The charge nurse is making client assignments in the Intensive Care Department. The healthcare team consists of one registered nurse (RN) with 10 years experience, one RN with 5 years experience, and a new graduate RN who just completed a 12-week internship. Which client should the nurse assign to the new graduate RN ptg6843614 Contents at a Glance Introduction 1 CHAPTER 1 Practice Exam 1 and Rationales 5 CHAPTER 2 Practice Exam 2 and Rationales 73 CHAPTER 3 Practice Exam 3 and Rationales 145 CHAPTER 4 Practice Exam 4 and Rationales 209 CHAPTER 5 Practice Exam 5 and Rationales 275 APPENDIX A Things You Forgot 341 APPENDIX B Need to Know More? 349 APPENDIX C Alphabetical Listing of Nursing Boards in the 35 An example of advocacy in nursing practice is: 1.documenting care provided to a patient 2.giving meds to a patient 3.assessing the patients comfort level after surgery 4.contacting physician to discuss patients response to plan of care: 4.Contacting the physician to discuss patients response to the plan of care
Using data collected during care and the desired outcomes de-veloped during the planning stage as a guide, the nurse judges whether client goals and outcomes have been achieved. Data collection may include (a) observations of the duration of the client's sleep, (b) questions about how the client feels on awak Nurse is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan? a). Provide privacy during meals b). Set-up a strict eating plan for the client c). Encourage client to exercise to reduce anxiety d). Restricts visits with the family. A client is experiencing anxiety attack NCP The Client at 24 to 48 Hours Following Early Discharge. This plan of care focuses on the client who is discharged within 30 hr of delivery. It is to be used in conjunction with CP: The Client at 4 Hours to 2 Days Postpartum. BP remains at same level as pregnant readings (slightly below baseline) This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. Electrolytes, urinary output, and patient mental status should be monitored routinely
. This qualitative study aimed to better understand implementation of the Program to Encourage Active, Rewarding Lives for Seniors (PEARLS), a depression care management program at a Seattle-King County area agency on aging Oct 9, 2019 - Nursing Patient Teaching Plan Sample - Nursing Patient Teaching Plan Sample , Diabetic Nursing Care Plan Template Search Results. Pinterest. Today. Explore. When autocomplete results are available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures
Nursing care 1. assess client for bleeding, leakage, contractions 2. assess fundal height 3. perform leopold maneuvers (fetal position and presentation) 4. refrain from performing vaginal exams (may exacerbate bleeding) 5. Admin IV fluids to client as prescribed 6. have O2 equip available in case of fetal distres Obtaining vital signs may be delegated (right task) as long as the client is stable (right circumstance). In the scenario, the client is 1 day postpartum and there is no indication the client is unstable. 2.This would not be appropriate delegation. Demonstrating implies client education which is within the scope of practice for a RN Respiratory status Apr 20, 2014 · The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. 7 C (An axillary temp. Obtain hemoglobin and hematocrit levels. 8-99F. a. The nurse accurately tells the client that fetal circulation consists of: a
In conjunction with Women Centred Care, which places the woman at the center of care, family-centered maternity care, is an attitude/philosophy rather than a policy, and is based on guiding principles2. Key principles have been adapted and are reflected in the Newborn Nursing Care Pathway NO.38 During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. Normal fluid intake for a child of 2 years is: A. 900 mL/24 hr B. 1300 mL/24 hr C. 1600 mL/24 hr D. 2000 mL/24 hr Answer: C A nursing plan of care based on this modality would include
A nurse is planning caer for a client with an internal radiation implant. Which of the following is an incorrect component to include in the plan of care? 1. Wearing gloves when emptyin gthe client's bedpan. 2. Keeping all linens in the room until the implant is removed. 3. Wearing a lead apron when providing direct care to the patient. 4 Discuss with the client the expected physiological changes and a possible timeline for a return to the prepregnant state. Assist the client in setting goals for the postpartum period in regard to self-care and newborn care. Refer the client to counseling if the body image concerns begin to have a negative impact on the pregnancy. 29 Mayo Clinic, Postpartum Care: What to Expect After a Vaginal Birth, March 2020; Mayo Clinic, Urinary Tract Infection (UTI), October 2020. Merck Manual, Postpartum Bladder and Kidney Infections, May 2020 The chief purpose of the Jackson-Pratt drain is to: The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of: The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna
Correct Answer: plan nursing care around lengthy rest periods. Rationale: The initial priority for this client is rest due to the inability of red blood cells to carry oxygen. 2. A 42 year-old male client refuses to take propranolol hydrochloride (Inderal) as prescribed 1) An 18-year-old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first? Reposition the client to avoid neck flexion Administer 1 g Mannitol IV as ordered Increase the ventilator's respiratory rate to 20 breaths/minute Administer 100mg o 1. I think your baby is the problem, not you.. 2. Even though breast-feeding seems like it should be natural, it needs practice to be good at.. 3. Breast-feeding is a natural act. I'm not sure why it's so hard for you.. 4. When I had my first child, I found it hard to breast-feed at first too.
Describe alternatives to the procedure. Witness the client's signature on the consent form. Advocate for the client by ensuring she is making an informed decision. Answer: 3&4. Informed Consent. One of the nurse's roles in the informed consent process is to witness the signature on the consent form 74. A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished A charge nurse on a postpartum unit is teaching a client who gave birth 2 hr ago about the facility's Nov 26, 2016 · The clinical pathway includes nursing assessments, teaching, medical and nursing interventions, discharge, and follow-up care for the postpartum woman Mother/Baby requires the RN to take care of newborns and post-delivery mothers. This unit is fast-paced and requires quick-thinking and strong assessment skills to monitor for hemorrhage and deterioration of either mom or baby. This nursing role requires the RN to care for 2 patients as a set Given the problems with self-care, the patient will be moved to an assisted living facility with part-time nursing care. The assisted living facility will monitor the patient closely to ensure all self-care needs are being met. If self-care needs are not being met, moving to a long-term care nursing facility will be considered
Nursing Care Plan for Preeclampsia Preeclampsia is a collection of symptoms that occur in pregnant women, maternity and childbirth consisting of hypertension, edema and proteinuria, but show no signs of vascular abnormalities or hypertension before, while the symptoms usually appear after age 28 weeks gestation or more. Predisposing factors. Below is a listing of common causes of insomnia. Medical illness - arthritis, cancer, lung disease, heart failure, stroke, gastroesophageal reflux disease, benign prostatic hypertrophy, acute illness (e.g., bronchitis, sinusitis), obstructive sleep apnea and obesity. Psychiatric illness - depression and anxiety Nursing Care Plan 2. Nursing Diagnosis: Ineffective Airway Clearance related to the disease process of bacterial pneumonia as evidenced by shortness of breath, wheeze, SpO2 level of 85%, productive cough, difficulty to expectorate greenish phlegm Desired Outcome: The patient will be able to maintain airway patency and improved airway clearance as evidenced by being able to expectorate phlegm.