A nurse is caring for a client 2 hours after a vacuum-assisted vaginal delivery of a 4,180-g (9 lb 3 oz) infant. The client reports escalating rectal pressure and severe perineal pain that she rates as 10/10 despite receiving prescribed analgesics 20 minutes earlier. Assessment reveals a firm, midline uterus at the level of the umbilicus with scant lochia rubra. The nurse notes unilateral swelling of the right labia that is tense, ecchymotic, and exquisitely tender to palpation. Which nursing action is the priority?

A 58-year-old client underwent a bone marrow aspiration and biopsy from the posterior iliac crest 45 minutes ago to evaluate unexplained pancytopenia. Which assessment finding should prompt the nurse to contact the provider immediately?

A 38-year-old client is discharged with a new prescription for ferrous sulfate after being diagnosed with iron deficiency anemia related to chronic gastrointestinal blood loss. During a follow-up phone call one week later, which client statement indicates that additional teaching is needed?

A 42-year-old client is admitted with progressive fatigue, jaundice, and dark-colored urine. Laboratory studies reveal a decreased hemoglobin level, elevated indirect bilirubin, increased lactate dehydrogenase (LDH), a positive direct Coombs test, and an elevated reticulocyte count. The provider diagnoses warm autoimmune hemolytic anemia (AIHA). When reviewing the client’s history, which additional finding would the nurse most strongly associate with the development of this disorder?

Fogel’s research on nutrition and Kremer’s research on population and ideas both suggest that growth policy should focus on more than just physical capital investment. What COMBINED policy implication do both findings support?

Equilibrium wage = $15/hour and 50M workers are employed. Government sets minimum wage = $20/hour. At $20: firms want to hire 40M, 60M workers want jobs. Which is MOST precisely correct?

A student argues efficiency wages creating structural unemployment are bad for the economy. A more complete analysis recognizes:

A bank: Total assets = $50B; Total deposits = $44B; Other liabilities = $4B; Capital = $2B. What is the leverage ratio and the maximum asset decline before insolvency?

A union negotiates a wage of 35 euros/hour in manufacturing where the competitive equilibrium is 25 euros/hour. Workers displaced from manufacturing move to retail, where the equilibrium was 18 euros/hour. What is the expected effect on retail wages?

A plague kills 30% of the population but leaves total stocks of K, H (human capital embodied in survivors), and N unchanged. Assuming A is also unchanged, what happens to Y/L?