Author Question: A client had a cesarean birth 3 days ago. She has tenderness, localized heat, and redness of the ... (Read 37 times)

tnt_battle · **on:** Jun 27, 2018

A client had a cesarean birth 3 days ago. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, what would the nurse anticipate would be the next course of action?

1. That the client would be encouraged to ambulate freely
2. That the client would be given aspirin 650 mg by mouth
3. That the client would be given Methergine IM
4. That the client would be placed on bed rest

Question 2

The nurse is caring for a postpartum client who is at risk for developing early postpartum hemorrhage.

What interventions would be included in the plan of care to detect this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Weigh perineal pads if the client has a slow, steady, free flow of blood from the vagina.
2. Massage the uterus every 2 hours.
3. Maintain vascular access.
4. Obtain blood specimens for hemoglobin and hematocrit.
5. Encourage the client to void if the fundus is displaced upward or to one side.

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

Answer to Question 1

4
Explanation: 4. These symptoms indicate the presence of superficial thrombophlebitis. The treatment involves bed rest, elevation of the affected limb, analgesics, and use of elastic support hose.

Answer to Question 2

1, 4
Explanation: 1. Weighing the perineal pads will indicate whether the client is bleeding more than anticipated.
4. The nurse reviews hemoglobin and hematocrit levels when available, and compares them to the admission baseline.