Nokea
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.
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What nursing action is the most appropriate to prevent thrombus formation?
- A. Have the woman sit in a chair for meals.
- B. Monitor vital signs every 4 hours and report any changes.
- C. Tell the woman to remain in bed with her legs elevated.
- D. Assist the woman with ambulation for short periods of time.
Correct Answer: D
Rationale: Early ambulation and range-of-motion exercises are valuable aids to prevent thrombus formation in the postpartum woman.
What will the nurse anticipate might be ordered by the physician?
- A. Ritodrine
- B. Magnesium sulfate
- C. Oxytocin
- D. Bromocriptine
Correct Answer: C
Rationale: Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.
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.
When weaning a newborn from breastfeeding, what should the mother do?
- A. Eliminate one feeding at a time.
- B. Eliminate the favorite feeding last.
- C. Expect the need for comfort feeding.
- D. Substitute formula for younger infants.
- E. Pump breasts in place of eliminated feeding.
Correct Answer: B,C,D
Rationale: When weaning a newborn from breastfeeding, the mother should eliminate the favorite feeding last, one feeding at a time, and expect the need for comfort feeding. In younger infants, formula will need to be substituted. Pumping in place of eliminated feeding would continue milk production.
What statement by the patient leads the nurse to determine a woman with mastitis understands treatment instructions?
- A. I will apply cold compresses to the painful areas.'
- B. I will take a warm shower before nursing the baby.'
- C. I will nurse first on the affected side.'
- D. I will empty the affected breast every 8 hours.'
Correct Answer: B
Rationale: Moist heat promotes blood flow to the area, comfort, and complete emptying of the breast.