The nurse in a clinic is triaging clients. Which of the following clients should the nurse see first?A. A 17-year-old complaining of abdominal cramping with moderate bloody vaginal dischargeB. A 25-year-old primigravida reporting blurred vision.C. A 50-year-old menopausal client expelling dark red blood clots.D. A 70-year-old client who states her uterus is going to “fall out.”

The nurse is caring for a client experiencing hypovolemic shock. Which of thefollowing interventions would not be appropriate for this client? ***(a) Monitor intravenous fluid replacement.(b) Monitor vital signs(c) Monitor hemoglobin and hematocrit levels(d) Assist to a sitting position

The nurse is caring for a client in acute renal failure. Which of the following clinical manifestations is a priority for the nurse to monitor in this client? A. Infection B. Pain C. Oliguria D. Anemia

The nurse is assessing a client who is two days postpartum and is breastfeeding her infant and reports uterine contractions while breastfeeding. The nurse should take which action?A. Perform a vaginal examinationB. Prepare the client for a pelvic ultrasoundC. Reassure the client that this is a normal findingD. Instruct the client to bottle feed the infant until the sensation subsides

71.  Nursing care during the second stage of labor include:*1 pointA. coach breathing, encourage to bear down with each contractionB. careful evaluation of prenatal historyC. shave the perineumD. administer enema to the patient72.  The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be:*1 pointA. red and moderateB. brown and scantyC. continuous with red clotsD. thin and white73.  The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?*1 pointA. 1 fingerbreadth above the umbilicusB. at the level of the umbilicusC. 1 fingerbreadth below the umbilicusD. below the symphysis pubis74. The nurse is helping to prepare a client for discharge following childbirth. During teaching a session, the nurse instructs the client to do Kegel exercise. What is the purpose of this exercise?*1 pointA. to tone the abdominal musclesB. to strengthen the perineal musclesC. to prevent urine retention .D. to relieve lower back pain75. Which of the following characteristics best describes that lochia is normal?*1 pointA. lochia amount increases with strenuous exerciseB. lochia is absent during the first 1-3 weeks after a cesarean birth.C. lochia contains no large clotsD. lochia is white for the first 1-3 days postpartum

A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?*1 pointa. Has had diabetes mellitus for 12 yearsb. Uses sodium-containing antacids frequentlyc. Just received 3 units of packed red blood cellsd. Had abdominal surgery and has a nasogastric tube