A postpartum client reports calf discomfort when the nurse ...

[melina_rosy]

A postpartum client reports calf discomfort when the nurse supports her left knee and dorsiflexes her foot. Which of these actions should the nurse take?
 
  a. Allow the client to rest, and reassess her later in the shift.
  b. Chart this finding as a negative Homans' sign.
  c. Massage the affected calf, and apply moist heat.
  d. Report this finding to the health care provider at once.

Question 2

Which of these factors contributes to a client developing gastritis?
 
  a. exposure to irritating substances such as ibuprofen
  b. impaired esophageal sphincter function
  c. high-fat diet
  d. viral infection

[momolu]

Answer to Question 1

D
Both the hemoglobin and hematocrit rise by the 7th day, unless excessive blood loss occurs. There is an increased risk for clots because of increased levels of clotting factors. Clients who have varicose veins, a cesarean birth, or a history of thrombophlebitis are at greater risk for thrombus formation. The health care provider should be contacted immediately if a client exhibits any sign of thrombus formation.

Answer to Question 2

A
Gastritis, inflammation of the stomach mucosa, can occur as the result of exposure to medications, smoking, food allergens, or toxic chemicals or from impaired mucosal defenses. Medical management of the client who has gastritis primarily involves prescription of antacids and histamine receptor antagonists. Nursing care focuses on relieving pain and teaching the client to avoid substances that aggravate gastric irritation and to minimize consumption of foods such as milk, coffee, and cola beverages that increase gastric acid secretions.