Nokea
The nurse has provided teaching to a post-op cesarean client who is being discharged on Colace (docusate sodium) 100 mg po tid. Which of the following would indicate that the teaching was successful?
- A. The woman swallows the tablets whole.
- B. The woman takes the pills between meals.
- C. The woman calls the doctor if she develops a headache.
- D. The woman understands that her urine may turn orange.
Correct Answer: D
Rationale: Colace (docusate sodium) is a stool softener that can turn the urine orange. This is a common side effect and should be discussed with the patient during teaching to avoid unnecessary concern.
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The nurse is assessing the laboratory report on a 2-day postpartum G1 P1001. The woman had a normal postpartum assessment this morning. Which of the following results should the nurse report to the primary health care provider?
- A. White blood cells, 12,500 cells/mm3.
- B. Red blood cells, 4,500,000 cells/mm3.
- C. Hematocrit, 26%.
- D. Hemoglobin, 11 g/dL
Correct Answer: C
Rationale: A hematocrit of 26% indicates possible anemia, and it should be reported to the healthcare provider for further evaluation.
The nurse is developing a plan of care for the postpartum client during the 'taking in ' phase. Which of the following should the nurse include in the plan?
- A. Teach baby-care skills like diapering.
- B. Discuss the labor and birth with the mother.
- C. Discuss contraceptive choices with the mother.
- D. Teach breastfeeding skills like pumping.
Correct Answer: B
Rationale: During the 'taking in' phase, the mother is focused on her own recovery and reliving the birth experience. Discussing the labor and birth is appropriate at this time.
A breastfeeding client, G10 P6408, delivered 10 minutes ago. Which of the following assessments is most important for the nurse to perform at this time?
- A. Pulse.
- B. Fundus.
- C. Bladder.
- D. Breast.
Correct Answer: B
Rationale: After delivery, the most critical assessment is to evaluate the fundus to ensure uterine contraction and prevent hemorrhage.
The nurse educates the person recovering from a cesarean birth on how to care for the incision. What education is discussed?
- A. Scrub the incision well twice daily.
- B. Remove the dressing the day after birth.
- C. Staples will be removed the day after birth.
- D. Vertical incisions heal faster with less pain.
Correct Answer: A
Rationale: Proper care and cleaning of the cesarean incision are essential for recovery.
The nurse should warn a client who is about to receive Methergine (ergonovine) of which of the following side effects?
- A. Headache.
- B. Nausea.
- C. Cramping.
- D. Fatigue.
Correct Answer: A
Rationale: Methergine is used to prevent postpartum hemorrhage, but it can cause side effects such as headache, nausea, and cramping. The nurse should inform the client about these possible side effects to promote informed decision-making.