Client with cardiovascular disease

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Reference no: EM133921131

Questions

1. A nurse is caring for a client with cardiovascular disease who had just given birth. What nursing intervention should the nurse prioritize when caring for the client?

A. Auscultate lung sounds

B. Request order for cough medicine

C. Assess edema

D. Draw labs

E. Auscultate heart sounds

2. A woman delivered her infant 24 hours ago by cesarean section. Which assessment findings require immediate nursing action?

A. Fundal height is one fingerbreadth below the umbilicus

B. Lochia rubra 2x5 cm in size

C. Uterus feels boggy

D. The patient reports break through pain level of 7-8

E. The patient's abdomen is mildly distended, and bowel sounds are hypoactive

3. Four weeks before the due date, the primary care provider has told the client with GDM that if the baby gets bigger and the baby's lungs are ready, the care provider would like to perform a cesarean birth. The women ask the nurse what the downside is to having a cesarean rather than a vaginal birth. What is an appropriate response by the nurse?

A."If the care provider has recommended the procedure, it's likely that the benefits outweigh the risks."

B."The procedure isn't risky for the baby, but your healing takes longer and you'll have a scar."

C. "Some women don't have any problem giving birth to large babies. You might want to get a second opinion."

D. "The baby will not receive the same squeezing as a vaginal delivery and has increased risk of respiratory difficulties after a c-section."

4. A nurse is assigned to care for a pregnant client who presents to the emergency department alone with a report of decreased fetal movement. Exams reveal bruising on the abdomen. When questioned about how that happened, the client reported her toddler jumped on her. client appears distressed. When providing care to this client, which intervention will have priority?

A. Building trust

B. Promoting privacy

C. Notifying child protective services

D. Completing documentation

5. The nurse is caring for a client who has been diagnosed with a deep vein thrombosis. Which assessment finding should the nurse prioritize and report immediately?

A. Calf pain

B. Dysuria

C. Edema

D. Dyspnea

Reference no: EM133921131

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