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Home  arrow Chapter 38  arrow NCLEX-RN® Review

NCLEX-RN® Review



This activity contains 11 questions.

Question 1.
A nurse has provided discharge teaching to a client who suffered a postpartum hemorrhage. Which of the following client statements indicate the need for further teaching? (Select all that apply)


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Question 2.
A nurse is caring for a client who is 2 hours postpartum who complains of severe, unremitting vaginal pain and inability to void. The fundus is firm at the umbilicus with moderate lochia rubra, and the perineum appears edematous with significant bruising. The nurse suspects the client may have:


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Question 3.
A nurse is caring for a client with a superficial thrombophlebitis. Which of the following is the most appropriate nursing action?


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Question 4.

A nurse is assessing a postpartum preeclamptic client who delivered 3 hours earlier. Assessment data includes: T 98.8, BP 106/68, P 110, large lochia rubra with pooling, fundus firm at the umbilicus, oozing at the IV site, bruising at the site of the blood pressure cuff application, and petechiae. The nurse suspects the client may be developing which of the following conditions?

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Question 5.
A nurse is caring for a postpartum client who hemorrhaged 4 hours earlier. Which of the following nursing diagnoses is the nurse’s priority?


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Question 6.
A nurse is assessing a client during the second postpartum hour. Assessment data includes: BP 98/60, P 100, T 98.8. The pad is saturated with lochia rubra with one 6x8 cm clot. What should be the first nursing action?


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Question 7.
A nurse is planning a visit for a client with a deep vein thrombophlebitis who is being managed at home with bedrest and anticoagulant therapy. Which of the following topics will be included in the teaching plan? (Select all that apply)


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Question 8.
A 6-day postpartum client complains of fatigue and episodes of crying during the past two days. Which of the following statements is a correct response by the nurse?


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Question 9.
A 6-day postoperative C-section client calls the clinic nurse and complains of malaise and increased pain on the right side of her incision with increased drainage. What should be the nurse’s correct initial response?


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Question 10.
A breastfeeding client complains of a clogged milk duct. Which of the following interventions will help correct this condition? (Select all that apply)


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Question 11.
A client is scheduled to receive Methergine (methylergonovine maleate) 0.2 mg IM. Assessment data includes: T 100.6, BP 148/94, P 88, fundus firm at 1 cm below the umbilicus, moderate lochia rubra. The nurse should:


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