Case Study
Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph
A nurse on a postpartum unit is caring for a client. Exhibits Complete the following sentence by using the lists of options. The client is likely experiencing dropdown as evidenced by the client’s dropdown.
Explanation & Rationale
Rationale: The client is postpartum day 3 after a cesarean birth with prolonged rupture of membranes, which increases the risk for uterine infection. Findings of boggy uterus initially, tenderness, and moderate, foul-smelling lochia indicate inflammation or infection of the endometrium. The elevated WBC count (33,000/mm³) and low-grade fever support an infectious process. Although the client also has firm, warm breasts, this alone is consistent with normal lactation or early engorgement; the systemic signs and uterine findings point more strongly to endometritis.
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