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A nurse receives a shift change report for a newborn who is 8 hours post–vaginal delivery. In developing a plan of care, the nurse should give the highest priority to which finding?

The client at 32 weeks’ gestation presents to the ER with a severe headache and BP of 184/104 mmHg. Based on the assessment and lab results, which of the following complications warrant further assessment by the nurse? Laboratory Test Client Results Lab Ranges Total serum bilirubin 2.2 mg/dL 0.1-1.2 mg/dL Lactate dehydrogenase (LDH) 782 units/L 140-280 units/L AST (SGOT) 84 units/L < 40 units/L ALT (SGPT) 70 units/L 7-56 units/L Plt 99,000 / mm3 150,000-450,000 /mm3 Hgb 12.1 g/dL 12-15 g/dL Hct 36.3% 36-48% Serum creatinine 1.3 mg/dL 0.7-1.2 mg/dL

The client, who is 12 days postpartum, calls the doctor’s office and tells the nurse that she is concerned that she may have an infection because her vaginal discharge has been “whitish-yellow” for the past 2 days. Which response by the nurse is correct?

While caring for the client in labor, the patient begins to complain of increasing pelvic pressure and states that she feels like she needs to have a bowel movement. The fetal heart rate (FHR) is 140-145 bpm with moderate variability. For the past several contractions, the fetal heart rate gradually declines below the baseline as the contraction intensity is increasing. The lowest point of the FHR drop from baseline is coinciding with the peak of the contraction. Based on this information, select the nurse’s next actions. Select the two options that apply.

A client at 28 weeks’ gestation presents with uterine contractions every 3 to 5 minutes and a vaginal exam of 3/90/-2. Based on the data, which medications would be appropriate for the nurse to administer to this client? Select all that apply.

What pathology is demonstrated by the arrow in the following radiograph? volvulus 2.jpg

A form of chronic inflammation of the spine and the sacroiliac joints characterized by the growth of bony bridges between the vertebral bodies that creates a “bamboo spine” appearance is called:

38. The nurse reviews the laboratory results of a client with a deep vein thrombosis. The client is on warfarin therapy with an INR result is 1.2.  The nurse anticipates what physician order regarding the client’s lab results? (Reference range of a normal INR 0.8-1.1)

A systemic disease of infancy and childhood in which calcification of growing skeletal elements in defective because of a deficiency of vitamin D  in the diet or a lack of exposure to sunshine is called:

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