NCLEX-RN

Category - Care Management

Nina the New Nurse has floated to the post-partum unit. She is discharging four clients. Nina the New Nurse believes a home care referral is appropriate for one of these clients. Do you know which one?
  1. 15-year-old primipara, vaginal delivery of seven-pound male 2 days ago; lives with adult sister.
  2. 25-year-old multipara, vaginal delivery of eight-pound female 2 days ago; breastfeeding; complaining of cramping.
  3. 21-year-old multipara, C-section delivery of 9-pound male 3 days ago; breastfeeding; complaining of surgical pain.
  4. 28-year-old primipara, C-section delivery of seven-pound female 3 days ago; complaining of burning on urination.
Explanation
Answer: D - Client D’s complaint indicates a urinary tract infection and warrants follow-up care. Client A has no indication of any problems with mother or infant. Client B’s cramping is due to uterine contractions, a stable and expected sign. Client C’s surgical pain is expected after cesarean section delivery.
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