ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in fourth stage of labor, BP 144/92, pulse 99, respirations 17, pulse ox 97%, temperature 100.4 F, pain score 1/10.
Question 1 of 5
A nurse is caring for a client in the fourth stage of labor after a vaginal delivery. History and Physical: BP: 144/92 mmHg. Pulse: 99 bpm. Respirations: 17/min. Pulse Ox: 97%. Temperature: 100.4 F (38.0 C). Pain score: 1/10. The nurse should first address the client's ____________ (assessment finding), followed by the client's ____________ (assessment finding).
Correct Answer: A
Rationale: Elevated BP (144/92 mmHg) is a priority due to potential preeclampsia, followed by temperature (100.4°F) indicating possible infection.
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Question 2 of 5
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Question 5 of 5
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