ATI Capstone Exam 2 Final | Nurselytic

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ATI Capstone Exam 2 Final Questions

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Question 1 of 5

A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?

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Correct Answer: D

Rationale: The correct answer is D: Prepare to administer oxytocic medication. This is the priority nursing intervention because the client is experiencing excessive postpartum bleeding, known as hemorrhage. Oxytocic medication helps to contract the uterus, reducing bleeding. Palpating the client's uterine fundus is important to assess uterine tone, but administering oxytocic medication takes precedence in this urgent situation. Assisting the client on a bedpan to urinate is not the priority as addressing the hemorrhage is more urgent. Increasing fluid intake may be beneficial but does not directly address the hemorrhage.

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