44.  A nurse is collecting data on a client 5 hr postpartum for deep vein thrombosis. What are the manifestations to look for in this assessment? Select all that apply.

45.  A nurse is educating a group of newly licensed nurses on the importance of vaccines. Which of the following is the most important person to be vaccinated against tetanus, diphtheria, and acellular pertussis at the time of discharge? Select all that apply. 

 11.  A nurse is preparing to administer dextrose 5% in water IV to infuse at 50 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

7. A patient who is experiencing a postpartum hemorrhage is admitted to the unit.  The physician has ordered 2 U PRBC.  Twenty minutes into the infusion the patient begin states “I do not know what is wrong but my chest is hurting really bad.”  Which of the following is a priority?

12. A nurse is assisting with the care of a patient with postpartum psychosis. Which of the following actions is the nurse’s priority? 

17.  A 40-year-old postpartum patient has experienced a fourth-degree laceration.  In preparation for her care, the nurse understands this to mean which of the following?

35.  A 29 year old patient who is 34 weeks pregnant is brought to the emergency department after a motor vehicle accident and has lost a large volume of blood. The physician provides a verbal order for the nurse to set up the trauma room for a rapid intravenous bolus infusion of an isotonic solution .  What is the nurse’s appropriate action?

40. A nurse is participating in the care of a patient who is 4 hrs PP.  Her VS are as follows:  BP 80/50 mm Hb, HR 110, temp 98.6’F, RR 20, O2 sat 97% on RA.  Which of the following conditions would be associated w/ these VS in a PP patient?

15. The nurse is performing a routine postpartum assessment on a 16-year-old patient.  Which of the following temperatures would be indicative of the presence of a postpartum infection?

4. A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?