Author Question: The nurse is providing discharge instructions to the new mother, and tells her to call her provider ... (Read 79 times)

jjjetplane · **on:** Jul 22, 2018

The nurse is providing discharge instructions to the new mother, and tells her to call her provider if lochia is:

1. Still bright red on day two after delivery.
2. Brownish to dark red on day three or four after delivery.
3. White to yellow in color for about four weeks.
4. Returning to bright red after becoming yellow in color.

Question 2

The nurse working in an urgent care clinic admits a 38-year-old woman with report of chest pain radiating to the jaw, diaphoresis, cool extremities, and nausea.

While waiting for the doctor to see the client, the nurse's priority intervention is: 1. Administration of nitroglycerine.
2. To obtain a signed operative consent.
3. To draw blood for cardiac enzymes.
4. To administer oxygen.

kusterl · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: A return to bright red after becoming yellow in color would indicate bleeding, and should be reported to the provider.

Answer to Question 2

4
Rationale: The client's symptoms demonstrate cardiac ischemia, and this is reversed by improving oxygenation of the tissue, which can be accomplished by increasing blood flow and providing supplemental oxygen. The nurse cannot administer nitroglycerine to increase blood flow without a physician's order, but can administer emergency oxygen until the doctor arrives. Drawing blood for laboratory testing requires a physician's order, and it is unlikely the urgent care center will be performing surgery.