HESI RN EXIT CASE STUDY: POSTPARTUM COMPLETE WITH 2024 NGN QUESTIONS AND ANSWERS VERIFIED / A+ GRADE
5 vues 0 achat
Cours
HESI RN EXIT
Établissement
HESI RN EXIT
HESI RN EXIT CASE STUDY: POSTPARTUM COMPLETE WITH 2024 NGN QUESTIONS AND ANSWERS VERIFIED / A+ GRADE
Prior to discontinuing the IV oxytocin (Pitocin), which assessment is most important for the nurse to obtain?
C) Uterine firmness.
Hormone used to stimulate uterine contractions and prevent hem...
HESI RN EXIT CASE STUDY: POSTPARTUM
COMPLETE WITH 2024 NGN QUESTIONS AND
ANSWERS VERIFIED / A+ GRADE
Prior to discontinuing the IV oxytocin (Pitocin), which assessment is most important for the nurse to
obtain?
C) Uterine firmness.
Hormone used to stimulate uterine contractions and prevent hemorrhage from the placental site.
Mari has minimal sensation in her lower extremities, die to the effects of the epidural anesthesia.
What is the priority nursing diagnosis for Mari, who is experiencing residual effects of epidural
anesthesia?
A) Risk for injury.
Causes temporary loss of voluntary movement and muscle strength in the lower extremities. Serious
injury could be incurred if Mari attempts to get out of bed on her own because her legs will be unable
to sustain her weight.
What is the priority nursing actions to address Mari's needs related to the repair of her 4th degree
perineal laceration?
C) Apply perineal ice packs consistently for the first 24 to 48 hours.
Cause local vasoconstriction, resulting in decreased swelling and tissue congestion, preventing a
hematoma, as well as prmoting comfort. Application of ice packs is the priority nursing action for the
first 24 to 48 hours, which is the period that the tissue is most vulnerable to swelling resulting from
the trauma. A hematoma formation could contribute to hypovolemia and needs to be prevented.
The nurse performs the first assessment upon arrival to the postpartum unit. Where would the nurse
expect to palpate the fundus?
D) 1 cm above the umbilicus.
For the first 12 hours, the fundus should be 1 to 2 cm above the umbilicus.
Which action is most important for the nurse to implement immediately?
A) Massage the fundus.
Since a boggy fundus is the ost likely reason for this client's hemorrhaging, massaging the fundus is
the most important intervention. The nurse should also call for assistance die to the amount of blood
that has pooled unde the client.
What is the best method for the nurse to use to obtain immediate assistance?
C) Activate the priority call light from the bedside.
The priority call light signals to the entire nursing unit that a client is in crisis. All personnel available
will respond to the distress signal.
The nurse has requested assistance and personnel are on their way. While waiting for help to arrive,
what is the next priority action?
C) Assess for bladder distention.
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur ACADEMICAIDSTORE. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour $9.59. Vous n'êtes lié à rien après votre achat.
