HESI RN Case Study: Postpartum questions
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Prior to discontinuing the IV oxytocin (Pitocin), which assessment is most important for the nurse to obtain? - correct answers.C) Uterine firmness.
Hormone used to stimulate uterine contractions and prevent hemorrhage from the placental site.
Mari has minimal sensation in her lower extremities, die to the effects of the epidural anesthesia. What is the priority nursing diagnosis for Mari, who is experiencing residual effects of epidural anesthesia? - correct answers.A) Risk for injury.
Causes temporary loss of voluntary movement and muscle strength in the lower extremities.Serious injury could be incurred if Mari attempts to get out of bed on her own because her legs will be unable to sustain her weight.
What is the priority nursing actions to address Mari's needs related to the repair of her 4th degree perineal laceration? - correct answers.C) Apply perineal ice packs consistently for the first 24 to 48 hours.
Cause local vasoconstriction, resulting in decreased swelling and tissue congestion, preventing a hematoma, as well as prmoting comfort. Application of ice packs is the priority nursing action for the first 24 to 48 hours, which is the period that the tissue is most vulnerable
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