Which of the following client situations should the nurse report to the supervisory RN or physician for further assessment? Select all that apply.
A) the client 12 hours after a cesarean section with hypoactive bowel sounds B) the breastfeeding client at 72 hours postpartum with very firm, warm breasts C) the client on IV magnesium sulfate 24 hours after delivery who appears flushed and complains of fatigue D) the client who saturates more than one pad per hour E) the client at 48 hours postpartum who reports pain in one leg when the nurse dorsiflexes the foot
Question 2
If an adolescent has hepatitis B, what would be an important nursing action?
A) Conscientious collection of stool for ova and parasites
B) Strict calculation of caloric and vitamin B intake
C) Strict enforcement of standard precautions
D) Close observation to detect cerebral hallucinations
The nurse needs to note the source of the patient health history
Nurse examining and measuring hematuria sample from client with a UTI
Situations Causing Changes in Respiratory Rate
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The nurse conveys attentive listening through a posture of involvement