Nokea
A client is being discharged on Coumadin (warfarin) post-pulmonary embolism after a cesarean delivery. Which of the following should be included in the patient teaching?
- A. Take only ibuprofen for pain.
- B. Avoid overeating dark green, leafy vegetables.
- C. Drink grapefruit juice daily.
- D. Report any decrease in urinary output.
Correct Answer: B
Rationale: Leafy greens affect INR levels.
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A mother asks the nurse which powder she should purchase to use on the baby's skin. What should the nurse's response be?
- A. Any powder made especially for babies should be fine.
- B. It is recommended that powder not be put on babies.
- C. There is no real difference except that many babies are allergic to cornstarch so it should not be used.
- D. As long as you put it only on the buttocks area
Correct Answer: B
Rationale: Powder use is discouraged due to inhalation risks.
What type of lochia is bright to dark red and occurs on days 1–3 postpartum?
- A. rubra
- B. serosa
- C. placental
- D. alba
Correct Answer: A
Rationale: The correct answer is A: rubra. Lochia rubra is bright to dark red, typically occurring on days 1-3 postpartum. This is due to the presence of blood and decidual tissue. Serosa (B) is pinkish-brown and occurs around days 4-10, representing a mix of blood and mucus. Placental (C) is typically expelled within 30 minutes postpartum and consists of dark red blood. Alba (D) is whitish-yellow, appearing around day 10 and lasting up to 6 weeks, indicating the final stage of lochia consisting of leukocytes and decidual tissue.
A client is being discharged on Coumadin (warfarin) post-pulmonary embolism after a cesarean delivery. Which of the following laboratory values indicates that the medication is effective?
- A. PT (prothrombin time): 12 sec (normal is 10-13 seconds).
- B. INR (international normalized ratio): 2.5 (normal is 1.0-1.4).
- C. Hematocrit 55%.
- D. Hemoglobin 10 g/dL.
Correct Answer: B
Rationale: An INR of 2.5 indicates therapeutic anticoagulation.
Four newborns were admitted into the neonatal nursery 1 hour ago. They are all sleeping in overhead warmers. Which of the babies should the nurse ask the neonatologist to evaluate?
- A. The neonate with a temperature of 98.9°F and weight of 3
- B. 000 grams.
- C. The neonate with white spots on the bridge of the nose.
- D. The neonate with raised white specks on the gums.
Correct Answer: D
Rationale: Tachypnea and tachycardia may indicate respiratory distress or sepsis.
A neonate is in the active alert behavioral state. Which of the following would the nurse expect to see?
- A. Baby is showing signs of hunger and frustration.
- B. Baby is starting to whimper and cry.
- C. Baby is wide awake and attending to a picture.
- D. Baby is asleep and breathing rhythmically.
Correct Answer: C
Rationale: Active alert state is characterized by wakefulness and attentiveness.