Capella University

NUR601 The nurse is assessing a client who is 24 hours postpartum. Which finding is most i NUR601 The nurse is assessing a client who is 24 hours postpartum. Which finding is most important for the nurse to follow up? WBC count of 8.5 Fundus is slightly firm Perineal pad saturated in 4 hrs Voided 2125 ml of clear urine in the last 24 hoursPostpartum AssessmentThe postpartum period is a critical time for the health of the mother. The nurse should be vigilant in assessing the mother's physical a...

NUR601 The nurse is assessing a newborn who has just been delivered. Which of the followin NUR601 The nurse is assessing a newborn who has just been delivered. Which of the following is the priority physiological change  successful feeding thermoregulation extra-uterine circulatory shift spontaneous respirationsThe priority physiological change in a newborn immediately after delivery is spontaneous respirations.ExplanationAt birth, a newborn undergoes several significant physiological changes...

NUR601 The nurse is caring for a client who delivered a healthy infant 4 hours ago. The nu NUR601 The nurse is caring for a client who delivered a healthy infant 4 hours ago. The nurse notes that the mother's temperature is 100.2F. Which of the following action is the priority for the nurse? A.Retake the temperature in 15 minutes B. Notify the PCP C.Encourage oral fluids D. Administer prescribed AcetaminophenThe priority action for the nurse in this situation would be:C. Encourage oral fluidsE...

NUR601 The nurse is caring for a client who is at 38 weeks gestation and in a supine posit NUR601 The nurse is caring for a client who is at 38 weeks gestation and in a supine position for a pelvic examination.   The client reports feeling dizzy and nauseated and upon assessment her skin feels damp and cool. Which of the following actions should the nurse take first?  Take the clients blood pressure  Turn client on their side assess the clients respirations Elevate the clients legs 20 degree...

NUR601 The nurse is caring for a formula-feeding postpartum client who reports painful swo NUR601 The nurse is caring for a formula-feeding postpartum client who reports painful swollen breasts on her third post-partum day. The nurse should encourage the mother to A. Gently massage the breasts B. Refrain from expelling milk C. Place lettuce leaves on the breasts D. Stimulate the nipple manuallyThe correct answer is B. Refrain from expelling milk.ExplanationThe mother is experiencing engorgemen...

NUR601 The nurse is caring for a group of clients on a mental health unit. The nurse overh NUR601 The nurse is caring for a group of clients on a mental health unit. The nurse overhears one client telling the other clients, œI didnt get my promotion because the boss os jealous of my work. œ Which of the following defense mechanisms is the client using? Denial  Projection Rationalization IdentificationThe client is using the defense mechanism known as Rationalization.ExplanationIn psychology...

NUR601 The nurse is caring for a newborn who was born 30 min ago. The nurse recognizes whi NUR601 The nurse is caring for a newborn who was born 30 min ago. The nurse recognizes which of the following as a probable sign of respiratory distress?  chest retractions respirations of 58 short periods of apnea lasting 8 to 10 seconds  blue hands and feetThe probable sign of respiratory distress in a newborn is chest retractions.ExplanationRespiratory distress in newborns can be identified by sever...

NUR601 The nurse is caring for the following clients in the postpartum unit. Which client NUR601 The nurse is caring for the following clients in the postpartum unit. Which client should the nurse see first? Primipara mother requesting help with repositioning her baby to decrease incisional pain from a cesarean delivery Primipara mother who delivered 3 hours ago and is having difficulty getting the baby to latch on to breast feed Multipara mother who has saturated 1 perineal pad in 3 hours Mul...

NUR601 The nurse is teaching a postpartum client about the newborns Moro reflex. The nurse NUR601 The nurse is teaching a postpartum client about the newborns Moro reflex. The nurse determines teaching has been effective when the client reports that the newborn will move legs up and down when held on a firm surface extend both arms our and abduct them in an embracing motion  turn the head to the left, extend left extremity, and flex right extremity  extend and abduct the arms and legs with th...

NUR601 The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid NUR601 The Occupational Safety and Health Administration (OSHA), the Centers for Medicaid and Medicare Services (CMS), and the Joint Commission (JC) require that health care organizations maintain risk management programs to address infection control. Detail three measures that your health care organization (or any health care organization) could implement, beyond what is currently in practice, to support...