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NCLEX-RN · Question #430
NCLEX-RN Question #430: Real Exam Question with Answer & Explanation
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Question
On the first postpartal day, a client tells the nurse that she has been changing her perineal pads every 1/2 hour because they are saturated with bright red vaginal drainage. When palpating the uterus, the nurse assesses that it is somewhat soft, 1 fingerbreadth above the umbilicus, and midline. The nursing action to be taken is to:
Options
- AGently massage the uterus until firm, express any clots, and note the amount and character of
- BCatheterize the client and reassess the uterus
- CBegin IV fluids and administer oxytocic medication
- DAdminister analgesics as ordered to relieve discomfort
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