medium · NCLEX-RN health-promotion
The RN is assessing a postpartum client at 2 hours following delivery. The nurse finds the fundus is boggy and 2 cm above the umbilicus, and displaced to the right.
What is the first nursing action?
- Notify the provider of suspected retained placental fragments.
- Document 'fundus firm with massage' in the chart.
- Assist the client to void or catheterize if necessary.
- Increase the IV oxytocin infusion rate.
Sign up free to see the explanation and track your rank →
More NCLEX-RN health-promotion practice
- Which task is most appropriate for the nurse to delegate to an experienced Unlicensed Assi
- Which procedure should the nurse absolutely avoid?
- Which teaching point is most critical for the nurse to emphasize to prevent fetal macrosom
- Which laboratory result most strongly supports a diagnosis of HELLP syndrome?
- Which behavior, if absent, would most concern the nurse?
- Which site is most appropriate for the injection?
- Which finding is most indicative of severe volume depletion in this client?
- What is the most effective communication strategy to use with this toddler?