题目内容

The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate

A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feedin

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A client who suffered blunt chest trauma in a car accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub--a classic sign of acute pericarditis. To relieve chest pain associated with pericarditis, the nurse should encourage the client to assume which position

A. Semi-Fowler’s.
B. Leaning forward while sitting.
C. Supine.
D. Pron

The nurse is reviewing discharge instructions with a client after an uncomplicated delivery. Which of the following symptoms is LEAST important in characterizing postpartum depression

A. Crying easily and feeling despondent.
B. Loss of appetite and anxiety.
C. Altered body image.
Difficulty sleeping and poor concentration.

Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor

A. Measuring urine output every 4 hours.
B. Monitoring blood glucose levels every hour.
C. Administering insulin subcutaneously every 4 hours.
D. Checking deep tendon reflexes every 2 hours.

An 18-year-old primagravida tells the nurse that the physician told her that she needed to increase her intake of thiamine (vitamin Bi) in her diet. Which of the following foods should the nurse instruct the client to consume more

A. Milk.
B. Rice.
C. Asparagus.
D. Bee

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