The first two postpartum assessments following the delivery of ...

[kfurse]

The first two postpartum assessments following the delivery of twins have been within normal limits. During the third assessment, the nurse finds that the fundus is boggy and the lochial flow has increased.
 
  The nurse expresses several large clots with moderate fundal massage. The fundus becomes firmer with the fundal massage. Which action should the nurse take next? a. Administer oxytocin (Pitocin) according to p.r.n. order.
  b. Notify the physician because the client needs surgery.
  c. Notify the physician because the site of the bleeding must be located.
  d. Reapply perineal pad, and tell the client to hold her thighs together tightly.

Question 2

You are caring for a client who tells you that she has been going to a healer to increase her energy level. She further states, The healer uses his hands but never touches me .
 
  You recognize that the client is most likely referring to which of the following? a. Yoga c. Acupuncture
  b. Reiki d. Tai chi

[Rilsmarie951]

Answer to Question 1

A
The nurse's next step would be to administer oxytocin (Pitocin) according to p.r.n. order. Oxytocin causes the uterus to contract.

Answer to Question 2

B
The client is most likely referring to Reiki a form of energy-based therapy. Reiki is based on the Tibetan Sutras (ancient sacred texts) and was reintroduced into Japan by Usui in the 1800s (Stewart, 1995). With this type of therapy, the healer channels universal healing energy through the hands, which can be placed directly on or held at a distance from the client. The healer does not direct the energy but holds the intent to heal. The energy then goes to where it is needed. This modality also uses a technique for distance healing.