NCLEX-RN Exam Dumps | On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum

<< Prev Question Next Question >>

Question 142/302

On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum and anus as part of her daily assessment. The best position for the client to be placed in for this assessment is:

A. Sims'

B. Fowler's

C. Prone

D. Any position that the RN chooses

Question List (302q): Question 1: The physician prescribes a medical regimen of isoniazid, rif...; Question 2: A client has been diagnosed as being preeclamptic. The physi...; Question 3: A first-trimester primigravida is diagnosed with anemia. The...; Question 4: A 19-year-old client fell off a ladder approximately 3 ft to...; Question 5: A 1-year-old child is to receive an IM injection ordered by ...; Question 6: A client had a right below-the-knee amputation 4 days ago. H...; Question 7: The nurse is teaching a 10-year-old insulin-dependent diabet...; Question 8: A 9-month-old infant was diagnosed with nonorganic failure t...; Question 9: A client is experiencing muscle weakness and lethargy. His s...; Question 10: Which of the following menu choices would indicate that a cl...; Question 11: A client is taught to eat foods high in potassium. Which foo...; Question 12: The nurse assesses a client's monitor strip and finds the fo...; Question 13: A 68-year-old client developed acute respiratory distress sy...; Question 14: A 40-year-old client is admitted to the coronary care unit w...; Question 15: Which of the following nursing orders has the highest priori...; Question 16: A female client is admitted to the emergency department comp...; Question 17: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 18: A 60-year-old male client was hospitalized 3 days ago with t...; Question 19: A client presented herself to the mental health center, desc...; Question 20: Which of the following would indicate the need for further t...; Question 21: A client presents to the psychiatric unit crying hystericall...; Question 22: A client with IDDM is given IV insulin for a blood glucose l...; Question 23: A female client has married recently. A month ago she visite...; Question 24: A client had a transurethral resection of the prostate yeste...; Question 25: A 4-year-old child is being discharged from the hospital aft...; Question 26: The nurse begins morning assessment on a male client and not...; Question 27: A 19-year-old client has sustained a C-7 fracture, which res...; Question 28: Newborns are routinely screened for phenylketonuria. The nur...; Question 29: A 2-day-old infant boy has been diagnosed with an atrial sep...; Question 30: The nurse discovers that a 78-year-old client who received h...; Question 31: A 4-year-old child with a history of sickle cell anemia is a...; Question 32: A primipara is assessed on arrival to the postpartum unit. T...; Question 33: A postoperative TURP client returns from the recovery room t...; Question 34: A 27-year-old male client is admitted to the acute care ment...; Question 35: A client is being discharged from the hospital today. The di...; Question 36: The most frequent cause of early postpartum hemorrhage is:...; Question 37: A male client has asthma and his physician has prescribed be...; Question 38: A 5-year-old child cries continually in her bed. Her parents...; Question 39: A 16-year-old student has a long history of bronchial asthma...; Question 40: A 9-month-old infant visits her pediatrician for a routine v...; Question 41: A pregnant client complains of varicosities in the third tri...; Question 42: A client diagnosed with severe anemia is to receive 2 U of p...; Question 43: A client states to his nurse that "I was told by the doctor ...; Question 44: A 71-year-old client fell and injured her left leg while coo...; Question 45: Four days after admission for cirrhosis of the liver, the nu...; Question 46: A 50-year-old male client is to receive chemotherapy. The ph...; Question 47: A 5-year-old child was recently diagnosed as having acute ly...; Question 48: When discussing the relationship between exercise and insuli...; Question 49: The nurse is caring for a 2-year-old girl with a subdural he...; Question 50: The nurse is aware that nutrition is an important aspect of ...; Question 51: Following TURP, which of the following instructions would be...; Question 52: Diagnostic assessment findings for an infant with possible c...; Question 53: One of the most dramatic and serious complications associate...; Question 54: A premature infant needs supplemental O2 therapy. A nursing ...; Question 55: An 11-year-old boy has received a partial-thickness burn to ...; Question 56: The mother of a child taking phenytoin will need to plan app...; Question 57: On the first postpartal day, a client tells the nurse that s...; Question 58: A 30-year-old client has just been treated in the ER for bru...; Question 59: After a liver biopsy, the best position for the client is:...; Question 60: A 35-year-old client is admitted to the hospital with diabet...; Question 61: A husband asks if he can visit with his wife on her ECT trea...; Question 62: A male client is undergoing cardiac tests. He has been instr...; Question 63: Due to his prolonged history of alcohol abuse, an alcoholic ...; Question 64: A 15-year-old client is admitted to the adolescent unit. The...; Question 65: A client's physician has prescribed theophylline (Theo- Dur)...; Question 66: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 67: A female client at 36 weeks' gestation has been treated succ...; Question 68: A 48-year-old male client is hospitalized with mild ascites,...; Question 69: At 32 weeks' gestation, a client is scheduled for a fetal ac...; Question 70: A 70-year-old client is almost finished receiving her second...; Question 71: A client is admitted to the hospital for an induction of lab...; Question 72: A pregnant client comes to the office for her first prenatal...; Question 73: A mother came to the pediatric clinic with her 17- month-old...; Question 74: A client with cystic fibrosis exhibits activity intolerance ...; Question 75: A 5-year-old child has suffered second-degree thermal burns ...; Question 76: A 24-year-old graduate student recognizes that he has a phob...; Question 77: A female client is seeking counseling for personal problems....; Question 78: The physician prescribes phenytoin (Dilantin) for a client w...; Question 79: The nurse is collecting a nutritional history on a 28- year-...; Question 80: Following a gastric resection, which of the following action...; Question 81: A client was prescribed a major tranquilizer 2 months ago. O...; Question 82: A client on the infectious disease unit is discussing transm...; Question 83: A 26-year-old client is admitted to the labor, delivery, rec...; Question 84: A 30-year-old client has been admitted to the psychiatric se...; Question 85: A client has been diagnosed with congestive heart failure. H...; Question 86: A 48-year-old client is in the surgical intensive care unit ...; Question 87: The FHR pattern in a laboring client begins to show early de...; Question 88: A violent client remains in restraints for several hours. Wh...; Question 89: A 55-year-old client is admitted with a diagnosis of renal c...; Question 90: The physician has ordered that ampicillin 250 mg IV be given...; Question 91: Painless vaginal bleeding in the last trimester may be cause...; Question 92: A 55-year-old man is admitted to the hospital with complaint...; Question 93: A client has ascites, which is caused by:...; Question 94: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 95: The nurse assists a client with advanced emphysema to the ba...; Question 96: A client had abdominal surgery this morning. The nurse notic...; Question 97: A client suffering from schizophrenia has been taking chlorp...; Question 98: A child is to receive atropine 0.15 mg (1/400 g) as part of ...; Question 99: The nurse working with a client who is out of control should...; Question 100: A type I diabetic client is diagnosed with cellulitis in his...; Question 101: A neonate was admitted to the hospital with projectile vomit...; Question 102: A client hospitalized with a medical diagnosis of adjustment...; Question 103: A client has been instructed in how to take her nitroglyceri...; Question 104: After several days, an IDDM client's serum glucose stabilize...; Question 105: In counseling a client, the nurse emphasizes the danger sign...; Question 106: The physician is preparing to induce labor on a 40-week mult...; Question 107: In healthcare settings, nurses must be familiar with primary...; Question 108: A couple is experiencing difficulties conceiving a baby. The...; Question 109: A client has been in labor for 10 hours. Her contractions ha...; Question 110: A client's congestive heart failure has been treated, and he...; Question 111: A male client was involved in a motor vehicle accident earli...; Question 112: A 37-year-old client has been taking antipsychotic medicatio...; Question 113: A 52-year-old client's abdominal aortic aneurysm ruptured. S...; Question 114: A pregnant client experiences spontaneous rupture of membran...; Question 115: A 2-year-old child with a scalp laceration and subdural hema...; Question 116: A family is experiencing changes in their lifestyle in many ...; Question 117: When teaching a mother of a 4-month-old with diarrhea about ...; Question 118: On assessment, the nurse learns that a chronic paranoid schi...; Question 119: A 30-year-old female client is receiving antineoplastic chem...; Question 120: Endotracheal tube cuff pressure should never exceed:...; Question 121: A 50-year-old depressed client has recently lost his job. He...; Question 122: A 3-year-old child is in the burn unit following a home acci...; Question 123: A 49-year-old obese woman has been admitted to the general s...; Question 124: Pregnant women with diabetes often have problems related to ...; Question 125: A 4-week-old infant is admitted to the emergency room in res...; Question 126: Discharge teaching for the client who has a total gastrectom...; Question 127: An elective saline abortion has been performed on a 3- week ...; Question 128: The pediatric nurse charts that the parents of a 4-yearold c...; Question 129: An 8-year-old child is admitted to the hospital for surgery....; Question 130: A depressed client is seen at the mental health center for f...; Question 131: A client is having episodes of hyperventilation related to h...; Question 132: The health team needs to realize that the compulsive concern...; Question 133: A 14-year-old teenager is demonstrating behavior indicative ...; Question 134: During a client's first postpartum day, the nurse assessed t...; Question 135: Blood work reveals the following lab values for a client who...; Question 136: For the past several months, an elderly female client with A...; Question 137: The nurse instructs a client on the difference between true ...; Question 138: To prevent thrombophlebitis in a client on complete bed rest...; Question 139: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 140: A 6-year-old child returned to the surgical floor 20 hours a...; Question 141: A 16-year-old client with a diagnosis of oppositional defian...; Question 142: On a mother's 2nd postpartum day after having a vaginal deli...; Question 143: A client suspects that she is pregnant. She reports two miss...; Question 144: A 52-year-old client is scheduled for a small-bowel resectio...; Question 145: A client admitted with a diagnosis of possible myocardial in...; Question 146: Parents of children receiving chemotherapy should be warned ...; Question 147: The nurse writes the following nursing diagnosis for a clien...; Question 148: Following a vaginal delivery, the postpartum nurse should ob...; Question 149: A client is receiving peritoneal dialysis. He has been taugh...; Question 150: MgSO4 is ordered IV following the established protocol for a...; Question 151: The nurse enters the room of a client on which a "do not res...; Question 152: A client in active labor asks the nurse for coaching with he...; Question 153: A client is in early labor. Her fetus is in a left occipitoa...; Question 154: A 14-year-old boy fell off his bike while "popping a wheelie...; Question 155: An 18-year-old girl is admitted to the hospital with a depre...; Question 156: A client at 6 months' gestation complains of tiredness and d...; Question 157: The nurse would assess the client's correct understanding of...; Question 158: The nurse provides a male client with diet teaching so that ...; Question 159: MgSO4 blood levels are monitored and the nurse would be prep...; Question 160: The therapeutic blood-level range for lithium is:...; Question 161: A psychotic client who believes that he is God and rules all...; Question 162: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 163: A client with cirrhosis of the liver becomes comatose and is...; Question 164: A 38-year-old pregnant woman visits her nurse practitioner f...; Question 165: A client who has sustained a basilar skull fracture exhibits...; Question 166: A 4 year old has an imaginary playmate, which concerns the m...; Question 167: The medication that best penetrates eschar is:...; Question 168: A 75-year-old client is hospitalized with pneumonia caused b...; Question 169: In teaching the client about proper umbilical cord care, the...; Question 170: The client will be more comfortable and the results more acc...; Question 171: A 42-year-old male client has been treated at an alcoholic r...; Question 172: A male client is diagnosed with hypoparathyroidism. He has b...; Question 173: The child with iron poisoning is given IV deforoxamine mesyl...; Question 174: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 175: A 6-month-old infant has developmental delays. His weight fa...; Question 176: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 177: Which of the following physician's orders would the nurse qu...; Question 178: A 16-year-old client with anorexia nervosa is on an inpatien...; Question 179: A 27-year-old healthy primigravida is brought to the labor a...; Question 180: A client is being treated for congestive heart failure. His ...; Question 181: Assessment of the client with pericarditis may reveal which ...; Question 182: In assisting preconceptual clients, the nurse should teach t...; Question 183: A 30-year-old client in the third trimester of her pregnancy...; Question 184: A 35-year-old client is admitted to the hospital for electiv...; Question 185: The postpartum nurse should include which of the following i...; Question 186: During the active phase of rheumatic fever, the nurse teache...; Question 187: On admission to the inpatient unit, a 34-year-old client is ...; Question 188: A pregnant client continues to visit the clinic regularly du...; Question 189: As a postoperative cholecystectomy client completes tomorrow...; Question 190: Which of the following nursing orders should be included in ...; Question 191: The nurse is caring for a laboring client. Assessment data i...; Question 192: After 7 hours in restraints and a total of 30-mg haloperidol...; Question 193: A pregnant client experiences a precipitous delivery. The nu...; Question 194: A laboratory technique specific for diagnosing Lyme disease ...; Question 195: An 82-year-old former restaurant owner walks to the nursing ...; Question 196: A 22-year-old client who is being seen in the clinic for a p...; Question 197: A complication for which the nurse should be alert following...; Question 198: A client has received preoperative teaching for the vertical...; Question 199: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 200: The serial sevens test is often used to determine delirium a...; Question 201: A client had a hemicolectomy performed 2 days ago. Today, wh...; Question 202: A 27-year-old man was diagnosed with type I diabetes 3 month...; Question 203: A client is admitted to the hospital with a diagnosis of apl...; Question 204: In evaluating the laboratory results of a client with severe...; Question 205: A 7-year-old girl has been diagnosed with juvenile arthritis...; Question 206: As a nurse in the emergency room, you receive an outside cal...; Question 207: When planning care for the passive-aggressive client, the nu...; Question 208: A female client was employed as a client care technician in ...; Question 209: A 9-month-old infant is being examined in the general pediat...; Question 210: A 74-year-old obese man who has undergone open reduction and...; Question 211: A 2-year-old child will undergo a cardiac catheterization to...; Question 212: Parents of young children often need anticipatory guidance f...; Question 213: A 4-year-old child has Down syndrome. The community health n...; Question 214: A 13-year-old hemophiliac is hospitalized for hemarthrosis o...; Question 215: A client had a ruptured abdominal aortic aneurysm that was r...; Question 216: A 26-year-old client is in a treatment center for aprazolam ...; Question 217: A client is admitted to the labor unit. On vaginal examinati...; Question 218: Following her surgery, a 5-year-old child will return to the...; Question 219: A 9-week-old female infant has a diagnosis of bilateral clef...; Question 220: After 3 weeks of treatment, a severely depressed client sudd...; Question 221: A client diagnosed with bipolar disorder continues to be hyp...; Question 222: A client has returned to the unit from the recovery room aft...; Question 223: An 11-month-old infant is admitted with a possible diagnosis...; Question 224: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 225: When a client arrives on the labor and delivery unit, she in...; Question 226: The nurse who is caring for a client with pneumonia assesses...; Question 227: A newborn girl's father expresses concern that the newborn d...; Question 228: An 8-week-old infant has been diagnosed with gastroesophagea...; Question 229: Nursing care of the infant prior to surgical closure of a me...; Question 230: A 30-year-old client has a history of several recent traumat...; Question 231: A child is admitted with severe headache, fever, vomiting, p...; Question 232: After the RN is finished the initial assessment of a newborn...; Question 233: When a client is receiving vasoactive therapy IV, such as do...; Question 234: A client reports to the nurse that the voices are practicall...; Question 235: A male infant is to be discharged home this morning. Which i...; Question 236: In performing the initial nursing assessment on a client at ...; Question 237: A 20-year-old client presents to the obstetrics-gynecology c...; Question 238: The most important reason to closely assess circumferential ...; Question 239: A client is 6 weeks pregnant. During her first prenatal visi...; Question 240: A client sustained second- and third-degree burns to his fac...; Question 241: A diagnosis of hepatitis C is confirmed by a male client's p...; Question 242: A client has had amniocentesis. One of the tests performed o...; Question 243: A pregnant client is at the clinic for a third trimester pre...; Question 244: The most important goal in the care plan for a child who was...; Question 245: A 34-year-old client who is gravida 1, para 0 has a history ...; Question 246: A client tells the nurse that he has been hearing voices tha...; Question 247: The nurse would be concerned if a client exhibited which of ...; Question 248: The nurse should facilitate bonding during the postpartum pe...; Question 249: Three hours postoperatively, a 27-year-old client complains ...; Question 250: When a client with pancreatitis is discharged, the nurse nee...; Question 251: A female client presents to the obstetric-gynecology clinic ...; Question 252: The family member of a child scheduled for heart surgery sta...; Question 253: A 47-year-old male client is admitted for colon surgery. Int...; Question 254: A pregnant client is having a nonstress test (NST). It is no...; Question 255: A male client receives 10 U of regular human insulin SC at 9...; Question 256: A murmur has been discovered during the routine physical exa...; Question 257: A measurable outcome criterion in the nursing care of an ado...; Question 258: The mother of a 7-year-old mental health center client repor...; Question 259: During his hospitalization, a 3-year-old child has become un...; Question 260: A client is placed on lithium therapy for her manicdepressiv...; Question 261: One of the medications that is prescribed for a male client ...; Question 262: A male client received a heart-lung transplant 1 month ago a...; Question 263: The nurse documents a client's surgical incision as having r...; Question 264: A 7-year-old child is brought to the ER at midnight by his m...; Question 265: A male client is experiencing extreme distress. He begins to...; Question 266: A female client plans to bottle-feed her newborn. Her physic...; Question 267: A client is experiencing mucosal cell damage secondary to ch...; Question 268: A client undergoes a transurethral resection, prostate (TURP...; Question 269: A 40-year-old client is admitted to the hospital for tests t...; Question 270: A 45-year-old male client experiences a sense of depression ...; Question 271: The parents of a 2-year-old child are ready to begin toilet ...; Question 272: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 273: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 274: A 14-year-old teenager is hospitalized for anorexia nervosa....; Question 275: A client is pregnant for the fourth time and has had three n...; Question 276: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 277: A 15-year-old female adolescent is frequently breaking the r...; Question 278: A 52-year-old client who underwent an exploratory laparotomy...; Question 279: A 6-year-old girl is visiting the outpatient clinic because ...; Question 280: A client is being discharged with albuterol (Proventil) and ...; Question 281: Assessment of a client reveals a 30% loss of preillness weig...; Question 282: A client suspected of having anorexia nervosa is placed on b...; Question 283: A client's behavior is annoying other clients on the unit. H...; Question 284: A client is to have a coronary artery bypass graft performed...; Question 285: After a 10-year-old child with insulin-dependent diabetes me...; Question 286: A 23-year-old female client is brought to the emergency room...; Question 287: A client has been admitted to the nursing unit with the diag...; Question 288: A hyperactive client is experiencing flight of ideas. The mo...; Question 289: The nurse has been assigned a client who delivered a 6- lb, ...; Question 290: A client delivered her first-born son 4 hours ago. She asks ...; Question 291: An IDDM client's condition stabilizes. He begins to receive ...; Question 292: The nurse notes scattered crackles in both lungs and 1+ pitt...; Question 293: A 33-year-old client was brought into the emergency room unc...; Question 294: A 29-year-old client delivered her fifth child by the Lamaze...; Question 295: A parent told the public health nurse that her 6-year-old so...; Question 296: A 47-year-old client comes to the emergency department compl...; Question 297: A 22-year-old client presents with a diagnosis of antisocial...; Question 298: A male client has heart failure. He has been instructed to g...; Question 299: A female client comes for her second prenatal visit. The nur...; Question 300: A schizophrenic is admitted to the psychiatric unit. What af...; Question 301: A 14-year-old boy has a head injury with laceration of his s...; Question 302: What is the appropriate nursing action for a child with incr...

Question 142/302

LEAVE A REPLY

Download PDF File