Which postpartum patient should the nurse suspect of having endometritis?
A) Patient with diabetes who delivered vaginally and develops tachycardia and a fever of 101.7 degrees on the third postpartum day. The next day, the patient appears ill; fever is 102.9 degrees; WBC is 31,500 cells/mm3; blood cultures are negative.
B) Patient with a history of infection and smoking who develops a temperature of 101 degrees on the fourth postpartum day. The patient reports severe perineal pain and the edges of the episiotomy have separated.
C) Obese patient who has a temperature of 100.4 degrees at 12 hours after delivery. The patient's lochia is moderate; vaginal cultures are negative.
D) Patient with PROM before delivery complains of severe burning with urination, malaise, and severe temperature spikes on the seventh postpartum day. WBC is 21,850 cells/mm3; temperature is 101 degrees; and skin is pale and clammy.
Question 2
Initial measures to stop a postpartum patient's bleeding are not successful and she is being transferred to the ICU.
Her family is frightened by the IV lines and the nasal cannula and the patient's brother suddenly says to her partner, This is all your fault What is the best response by the nurse?
A) Leave the room quietly; this is a family matter
B) Draw the brother aside and tell him that if he can't control himself, he'll have to leave
C) Explain the patient's care, focusing on any signs of improvement, while acknowledging that this is a difficult time for them
D) Tell them that the physician will explain the patient's treatment to them
The nurse applies a pulse oximeter sensor on the client’s finger.
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