A patient is to receive 500 mg of Kefzol (cefazolin sodium) in 50 mL D5W over 30 minutes. Calculate the flow rate in mcgtt. The drop factor is 60 mcgtt/mL.
1. 50 mcgtt/min
2. 60 mcgtt/min
3. 100 mcgtt/min
4. 120 mcgtt/min
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Which pathological change related to disseminated intravascular coagulation (DIC) occurs late in the course of the disease?
A) Hemorrhage
B) Formation of small clots
C) Damage to the endothelium
D) Brain ischemia
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A nurse is assessing a client during labor and delivery. Which condition should the nurse recognize as a risk factor for disseminated intravascular coagulation (DIC)?
A) Gestational diabetes
B) Polyhydramnios
C) Placental abruption
D) Placenta previa
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The nurse is evaluating care provided to a client with disseminated intravascular coagulation (DIC). Which observation indicates care has been successful for this client?
A) No evidence of bleeding
B) Urine output 20 mL per hour
C) Oxygen saturation level 86%
D) Heart rate 110 beats per minute
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The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. Which interventions are appropriate for this client within the first 48 hours after birth? Select all that apply.
A) Frequent assessment of serum electrolytes
B) Antihypertensives as prescribed
C) Vital sign assessment every 4 hours
D) Seizure precautions
E) Oxygen 2 liters nasal cannula as prescribed
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The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia. Which statement indicates that the client requires additional teaching?
A) "Pain in the top of my abdomen is a sign my condition is worsening."
B) "Lying on my left side as much as possible is good for the baby."
C) "I should call the doctor if I develop a headache or blurred vision."
D) "My urine may become darker and smaller in amount each day."
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The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and feet.
On the next hourly assessment, which new assessment finding would be an indication of worsening of the preeclampsia? 1. Blood pressure 158/104
2. Urinary output 20 mL/hour
3. Reflexes 21
4. Platelet count 150,000
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The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of eclampsia?
A) Treatment for vitamin D deficiency
B) Fibrocystic breast disease
C) Surgery for ruptured appendix 1 year prior
D) Obesity
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During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina.
What is the assessment finding that would necessitate follow-up? 1. Firm fundus
2. Fundus at the umbilical level
3. Moderate lochia rubra
4. Steady trickle of blood
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A pregnant client presents to the emergency department reporting that she has started labor and is certain the baby is coming "any minute now" and asks to be taken up to the delivery suite. After assessing and monitoring the client, the nurse determines that the client is in "false" labor and is preparing her to for discharge. Which observations support the nurse's conclusion? Select all that apply.
A) The contractions are mostly in her abdomen.
B) Her cervix has dilated 2 cm over the 2 hours of observation.
C) The contractions do not have a regular pattern.
D) The frequency and intensity of the contractions have stayed about the same.
E) Walking seems to increase the strength of the contractions.
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