Question

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL.How many mL should the nurse administer?

Answer 1

Correct Answers:

22.5

Rationale :

🟢 Calculation: Dose ordered = 30 mEq.

🟢Available = 20 mEq/15 mL.

🟢 Set up proportion: (20 mEq / 15 mL) = (30 mEq / X mL).

🟢 Cross-multiply: 20X = 30 × 15 → X = 450 / 20.

🟢 Result: X = 22.5 mL (rounded as per instructions).

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Answer 2

Correct Answers:

Have the client ambulate frequently in the hallway.

Rationale :

🔴 Early ambulation promotes circulation and reduces risk of thrombophlebitis after cesarean birth.

🔴 Immobility increases the risk of blood clots, especially postoperatively.

🔴 Warm soaks and pillows under knees can actually worsen the risk of clots.

🔴 Bed rest is discouraged unless medically necessary.

🔴 Teaching the importance of movement is key for postpartum recovery.

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Answer 3

Correct Answers:

Topical cream.
Use sitz baths.
Ice packs.

Rationale :

🟣 Topical creams relieve pain and support healing after episiotomy/laceration.

🟣 Sitz baths provide warmth, soothe tissue, and increase blood flow for comfort.

🟣 Ice packs reduce swelling and pain in the first 24 hours.

🟣 Tocolytics are for stopping preterm labor, not perineal care.

🟣 “Nothing” is not supportive care; proactive comfort measures are best.

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Answer 4

Correct Answers:

Sore nipple with cracks and fissures.

Rationale :

🟡 Cracked, fissured nipples at 4 weeks postpartum can indicate infection or poor latch—provider evaluation is needed.

🟡 Sore nipples can progress to mastitis if not addressed.

🟡 Other findings (mild discharge, cramping, decreased sexual response) are normal postpartum changes.

🟡 Early intervention prevents complications and helps with breastfeeding success.

🟡 Teaching mothers when to seek care promotes safe recovery.

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Answer 5

Correct Answers:

Massage the client’s fundus.

Rationale :

🔵 Uterine massage is the first response for postpartum hemorrhage (saturating pad in 10 minutes).

🔵 A boggy uterus is a leading cause of heavy bleeding and must be addressed immediately.

🔵 Restoring uterine tone stops further hemorrhage.

🔵 Check BP and meds after addressing the fundus.

🔵 Prompt action saves lives and prevents shock.

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Answer 6

Correct Answers:

Check the client’s fundus.

Rationale :

🟠 Fundal assessment is key if there’s heavy bleeding with clots after birth.

🟠 A boggy or high fundus can signal uterine atony (primary cause of PPH).

🟠 Firming the uterus can reduce or stop bleeding.

🟠 Vital signs, bladder check, and vaginal exam follow if bleeding continues.

🟠 Early action can prevent severe blood loss.

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Answer 7

Correct Answers:

Elevate the leg.

Rationale :

🟤 Elevation improves venous return in a limb with possible thrombophlebitis.

🟤 Never massage, as it can dislodge a clot and cause embolism.

🟤 Cold compress may relieve pain but does not treat underlying clot.

🟤 Flexing the knee increases risk of stasis and clot propagation.

🟤 Teaching correct intervention prevents serious complications.

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Answer 8

Correct Answers:

A normal postural discharge of lochia.

Rationale :

🟢 A gush of dark red blood when rising after lying is a normal postural lochia discharge.

🟢 Lochia can pool in the vagina and be released suddenly upon standing.

🟢 Firm, midline uterus and flow stopping quickly confirm this is not hemorrhage.

🟢 No action needed unless bleeding is persistent or excessive.

🟢 Educate all postpartum clients to expect this.

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Answer 9

Correct Answers:

Contact a crisis counselor once a week.

Rationale :

🔴 History of postpartum depression increases risk for recurrence—ongoing support is crucial.

🔴 Regular counseling/mental health check-ins reduce risk of severe depression or harm.

🔴 Staying home or sleeping excessively can worsen depression.

🔴 Gradual return to routine with support is best.

🔴 Prevention and early intervention improve outcomes for mother and baby.

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Answer 10

Correct Answers:

You might ovulate within 27 days.

Rationale :

🟣 Ovulation can occur as soon as 27 days postpartum, even with no return of menses.

🟣 Non-breastfeeding women are at highest risk for early ovulation.

🟣 Relying on “not needing birth control” after birth is not safe.

🟣 Education prevents unplanned pregnancies.

🟣 Postpartum contraception should be discussed before discharge.

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QLexNursing

1 :
A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL.How many mL should the nurse administer?

2 :
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

3 :
In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)

4 :
A nurse is reinforcing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

5 :
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes. Which of the following actions should the nurse take first?

6 :
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?

7 :
A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?

8 :
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?

9 :
nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include?

10 :
A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby. What should the nurse say in response?

QLexNursing

1 : A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL.How many mL should the nurse administer?

2 : A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

3 : In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)

4 : A nurse is reinforcing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

5 : A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes. Which of the following actions should the nurse take first?

6 : A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?

7 : A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?

8 : During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?

9 : nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include?

10 : A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby. What should the nurse say in response?

1 :
A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL.How many mL should the nurse administer?

2 :
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

3 :
In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)

4 :
A nurse is reinforcing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

5 :
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes. Which of the following actions should the nurse take first?

6 :
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?

7 :
A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf. Besides the client seeing the provider, which of the following interventions should the nurse suggest?

8 :
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?

9 :
nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include?

10 :
A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby. What should the nurse say in response?