Free NCLEX-RN Exam Braindumps (page: 89)

Page 88 of 431

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

  1. Pulse rate of 50­70 bpm by her third postpartum day
  2. Diuresis by her second or third postpartum day
  3. Vaginal discharge or rubra, serosa, then rubra
  4. Diaphoresis by her third postpartum day

Answer(s): C

Explanation:

(A) Bradycardia is an expected assessment during the postpartum period. (B) Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. (C) A return of rubra after the serosa period may indicate a postpartal complication. (D) Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.



The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

  1. Pulse rate of 50­70 bpm by her third postpartum day
  2. Diuresis by her second or third postpartum day
  3. Vaginal discharge or rubra, serosa, then rubra
  4. Diaphoresis by her third postpartum day

Answer(s): C

Explanation:

(A) Bradycardia is an expected assessment during the postpartum period. (B) Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. (C) A return of rubra after the serosa period may indicate a postpartal complication. (D) Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.



The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

  1. Omelette and hash browns
  2. Pancakes and syrup
  3. Bagel with cream cheese
  4. Cooked oatmeal and grapefruit half

Answer(s): D

Explanation:

(A) Eggs and hash browns do not provide much fiber and bulk, so they do not effectively prevent constipation. (B) Pancakes and syrup also have little fiber and bulk, so they do not effectively prevent constipation. (C) Bagel and cream cheese do not provide intestinal bulk. (D) A combination of oatmeal and fresh fruit will provide fiber and intestinal bulk.



The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

  1. Omelette and hash browns
  2. Pancakes and syrup
  3. Bagel with cream cheese
  4. Cooked oatmeal and grapefruit half

Answer(s): D

Explanation:

(A) Eggs and hash browns do not provide much fiber and bulk, so they do not effectively prevent constipation. (B) Pancakes and syrup also have little fiber and bulk, so they do not effectively prevent constipation. (C) Bagel and cream cheese do not provide intestinal bulk. (D) A combination of oatmeal and fresh fruit will provide fiber and intestinal bulk.






Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

NCLEX-RN Discussions & Posts