ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the firmness of the uterus (fundus) first. This is crucial in postpartum care to assess for uterine atony, a common cause of postpartum hemorrhage. By checking the firmness of the uterus, the nurse can determine if there is proper contraction and prevent excessive bleeding. Obtaining a type and crossmatch (
B) would be important for potential blood transfusion but is not the immediate priority. Administering oxytocin infusion (
C) is a common intervention for uterine atony but should come after assessing the uterus. Initiating oxygen therapy (
D) by nonrebreather mask is not directly related to the initial concern of uterine firmness.
Extract:
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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