The nursing staff has been intervening to control excessive ...

[big1devin]

The nursing staff has been intervening to control excessive postpartum bleeding. The nurse notes the client's condition as follows: cold, wet skin; pulse rate 120; increasing anxiety. What would be the most appropriate immediate nursing action?
 
  a. Decrease IV to a keep-vein-open rate.
  b. Initiate transfusion of 2 units of packed red blood cells.
  c. Insert a Foley catheter.
  d. Notify the health care provider and increase the IV fluid rate.

Question 2

A home health nurse has set up a home visit with a Korean couple to follow up on their jaundiced 4-day-old baby, who was discharged home yesterday. Considering family power structure, what family members might the nurse expect to see in the home?
 
  1. Just the parents
  2. The grandmother
  3. The grandfather and parents
  4. The godparents

[alexisweber49]

Answer to Question 1

D
With hemorrhage, the client needs rapid administration of volume-expanding fluids, IV medications, and, if the hemoglobin drops to 7 grams/dL, the client needs blood products as prescribed.

Answer to Question 2

3
Rationale:
1. Asians traditionally revere their elders and their wisdom. Just the parents, the grandmother, or the godparents would not have the last word in decision making for this family.
2. Asians traditionally revere their elders and their wisdom. Just the parents, the grandmother, or the godparents would not have the last word in decision making for this family.
3. The grandfather is the family member who plays a key role in decision making and who is likely to be present in this situation. Asians traditionally revere their elders and their wisdom.
4. Asians traditionally revere their elders and their wisdom. Just the parents, the grandmother, or the godparents would not have the last word in decision making for this family.