Author Question: The nurse receives the following report on a client who delivered 36 hours ago: para 1, rubella ... (Read 59 times)

ec501234 · **on:** Jun 27, 2018

The nurse receives the following report on a client who delivered 36 hours ago: para 1, rubella immune, A-negative, antibody screen negative, newborn B-positive, Coombs negative, discharge orders are written for both mother and newborn. What should be the priority action by the nurse?

1. Administer rubella vaccine.
2. Ask if she is breast- or bottlefeeding.
3. Determine if RhoGAM has been given.
4. Discuss the discharge education with the client.

Question 2

A newly admitted client at 32 weeks' gestation is experiencing a sudden onset of intense nausea and a frontal headache for the past 2 days. The client's initial blood pressure is 158/98, and she reports scant urination over the past 24 hours. Which intervention should the nurse anticipate implementing?

1. Ordering a low-protein diet for the client
2. Conducting a urine dipstick test to assess for proteinuria
3. Placing a wedge under the client's left hip so that she is in a right lateral tilt position
4. Administering diuretics and facilitating a dietary regimen of strict sodium restriction

Eazy416 · **Reply #1 on:** Jun 27, 2018

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