The nurse is caring for a client who is six hours post-partum. The client informs the nurse that they have changed their peri-pad four times in the last six hours. The nurse should take which action?A. Document the finding as expectedB. Massage the client's fundusC. Assess the client for hemorrhageD. Ambulate the client to the bathroom

A nurse is planning care for a client who has a central venous access device for intermittent infusions.Which of the following actions should the nurse include in the plan of care?A. Use an aseptic technique when changing the dressing.B. Cleanse the site with povidone-iodine.C. Flush the catheter using a 10-mL syringe.D. Change the dressing every 24 hours.

71.  Nursing care during the second stage of labor include:*1 pointA. coach breathing, encourage to bear down with each contractionB. careful evaluation of prenatal historyC. shave the perineumD. administer enema to the patient72.  The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be:*1 pointA. red and moderateB. brown and scantyC. continuous with red clotsD. thin and white73.  The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?*1 pointA. 1 fingerbreadth above the umbilicusB. at the level of the umbilicusC. 1 fingerbreadth below the umbilicusD. below the symphysis pubis74. The nurse is helping to prepare a client for discharge following childbirth. During teaching a session, the nurse instructs the client to do Kegel exercise. What is the purpose of this exercise?*1 pointA. to tone the abdominal musclesB. to strengthen the perineal musclesC. to prevent urine retention .D. to relieve lower back pain75. Which of the following characteristics best describes that lochia is normal?*1 pointA. lochia amount increases with strenuous exerciseB. lochia is absent during the first 1-3 weeks after a cesarean birth.C. lochia contains no large clotsD. lochia is white for the first 1-3 days postpartum

The nurse is teaching a postpartum client about caring for her episiotomy. Which of the following statement by the client would indicate a correct understanding of the teaching?A. "I can expect to have pain and urgency with urination."B. "I should increase my fluid and fiber intake."C. "I will clean the area with hot, soapy water."D. "I should wipe in a continuous motion using a washcloth."

A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia.Which of the following assessment findings requires immediate intervention by the nurse?A. The client's capillary refill in the left toe is 6 seconds.B. The client reports a pain level of 7 on a scale from 0 to 10 at the operative site.C. The client has an oral temperature of 38.3° C (100.9° F).D. The client has 100 mL of blood in the closed-suction drain.

The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans toA. encourage the client to ambulate within one hour following this procedure.B. discontinue prescribed intravenous fluids immediately after the procedureC. assess kidney function via lab testing on the day following the procedure.D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.