While palpating a client's uterus postpartum, the nurse notes the ...

[jazziefee]

While palpating a client's uterus postpartum, the nurse notes the fundus position to be 2 centimeters higher than on previous assessments and off to the left side. Which of these actions should the nurse take?
 
  a. Ask the client to urinate, and then reassess the fundus position.
  b. Initiate a Pitocin IV drip according to the health care provider's routine orders.
  c. Note the position of the uterus on the nurse's notes because these findings are normal.
  d. Notify the health care provider immediately.

Question 2

A client is receiving postsurgical analgesia via epidural block. It is essential that the nurse monitor the client for which of these side effects?
 
  a. bladder distention c. pressure necrosis
  b. headache d. respiratory depression

[aprice35067]

Answer to Question 1

A
Palpate the uterus to find the fundus. Note the size, consistency, and placement of the uterus. It should be the size of a grapefruit, firm, and in the midline. It should descend approximately one fingerbreadth each day. Palpate the bladder to assess for distention and position.

Answer to Question 2

C
A nurse should monitor the client's return of motor and sensory function in the blocked area by asking the client to move the part and to identify if the part is being touched. The client remains at some risk for orthostatic hypotension even after motor and sensory functions have returned. Normal sensation returns gradually as the regional block wears off. The client's body must be checked frequently and be protected until normal sensation has completely returned.

[jazziefee]

Excellent

[dawsa925]

Gracias!