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    RN Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    A nurse is caring for the client. Exhibits Select the 5 findings that indicate the client's condition has improved.

    Explanation & Rationale

    A. Heart rate: The heart rate decreased from 110/min on Day 3 to 78/min on Day 5, indicating resolution of systemic inflammatory response and improved hemodynamic status. B. WBC count: The WBC count decreased from 33,000/mm³ (marked leukocytosis) to 10,000/mm³, which is within the normal range and suggests resolution of infection. C. Hemoglobin: A drop in hemoglobin from 11.1 g/dL to 10 g/dL does not reflect improvement; it may indicate mild blood loss or fluid shifts common postpartum. Although not alarming, it requires monitoring rather than being interpreted as a sign of recovery. D. Temperature: The client’s temperature returned from a febrile state (38.6°C) to normal (37.1°C), demonstrating the effectiveness of antibiotic therapy and reduced inflammation. E. Fundal height: The uterus involuted from 1 cm above the umbilicus to 4 cm below, indicating normal postpartum uterine contraction and resolution of uterine atony. F. Lochia: Lochia changed from a moderate amount of foul-smelling discharge to a small amount of brownish-red discharge with no odor, suggesting that endometrial infection is resolving and healing is progressing.

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