RN ATI Maternal Proctored Exam 2023-2024 with NGN -Nurselytic

Questions 63

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RN ATI Maternal Proctored Exam 2023-2024 with NGN Questions

Extract:

A nurse is caring for a postpartum client who gave birth 3 days ago.
Exhibit 1
Vital Signs
Temperature 38.4° C (101.1° F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 118/72 mm Hg


Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Action to Take

Initiate anticoagulant therapy
Administer an oxytocic medication
Apply ice packs to the breasts.

Potential Condition

Engorgement
Urinary tract infection
Deed vein thrombosis

Parameter to Monitor

Temperature
Circumference of lower extremities
Integrity of the nipples

Correct Answer:

Rationale:
Correct
Answer: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.


Rationale:
1. Potential Condition: Engorgement is a common condition postpartum characterized by breast fullness and tenderness.
2. Actions to Take: Initiate anticoagulant therapy to prevent deep vein thrombosis and administer an oxytocic medication to relieve engorgement.
3. Parameters to Monitor: Circumference of lower extremities (for DVT) and integrity of the nipples (for engorgement). These parameters will help assess the client's progress in managing these conditions effectively.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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