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What action should the nurse implement based on these symptoms?
- A. Notify the charge nurse of a possible upper respiratory infection.
- B. Notify the physician of a possible pulmonary embolism.
- C. Document expected postpartum mucous membrane congestion.
- D. Medicate with antipyretic remedy for elevated temperature.
Correct Answer: B
Rationale: Symptoms of early pulmonary embolism may include cough, shortness of breath, and temperature elevation, requiring immediate notification of the physician.
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How does the nurse most likely feel and react to this finding?
- A. Concerned and reports a probable cervical laceration
- B. Attentive and massages the uterus to expel retained clots
- C. Distressed and reports a possible clotting disorder
- D. Satisfied with the normal early postpartum finding
Correct Answer: A
Rationale: The bright trickle of blood with a firm uterus suggests a cervical laceration.
What will the nurse instruct this woman is the antidote for warfarin overdose?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin E
- D. Vitamin K
Correct Answer: D
Rationale: The antidote for warfarin overdose is vitamin K.
The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing?
- A. Legumes
- B. Potatoes and pasta
- C. Citrus fruits
- D. Rice
- E. Cantaloupe
Correct Answer: A,C,E
Rationale: Legumes and foods containing vitamin C, such as citrus fruits and cantaloupe, are conducive to healing. Starches like potatoes and pasta are not.
What does the nurse suspect from these symptoms?
- A. Phlebitis
- B. Puerperal infection
- C. Late postpartum hemorrhage
- D. Mastitis
Correct Answer: A
Rationale: The complaints related to the leg, such as redness and pain, are indicative of phlebitis. The other signs are normal in the postpartum patient.
A woman is diagnosed with a urinary tract infection in the postpartum period. What foods can the nurse encourage to increase the acidity of urine?
- A. Apricots
- B. Cranberry juice
- C. Plums
- D. Prunes
- E. Apples
Correct Answer: A,B,C,D
Rationale: Apricots, cranberry juice, plums, and prunes can increase the acidity of urine to help manage a urinary tract infection.