A client is admitted to the labor and delivery unit in active labor. What nursing diagnoses might apply to the client with suspected abruptio placentae? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Fluid Volume, Deficient, Risk for, related to hypovolemia secondary to excessive blood loss
2. Tissue Perfusion: Peripheral, Ineffective, related to blood loss secondary to uterine atony following birth
3. Anxiety related to concern for own personal status and the baby's safety
4. Knowledge, Deficient related to lack of information about inherited genetic defects
5. Alteration in Respiratory Function related to blood loss
1, 2, 3
Explanation: 1. Maternal and perinatal fetal mortality are concerns due to hypoxia.
2. Maternal and perinatal fetal mortality are concerns due to blood loss.
3. This mother would be anxious for herself and her baby.
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The physiology instructor is discussing the GI system with the pre-nursing class. What should the instructor describe as a major function of the GI tract?
A) The breakdown of food particles into cell form for digestion B) The maintenance of fluid and acid-base balance C) The absorption into the bloodstream of nutrient molecules produced by digestion D) The control of absorption and elimination of electrolytes
A client who has experienced a severe blood loss becomes hypotensive and loses consciousness. The nurse suspects that the client is experiencing:
1. Hypovolemic shock. 2. Neurogenic shock. 3. Cardiogenic shock. 4. Anaphylactic shock.
A client asks the nurse to repeat the physician's explanation of the purpose for an upcoming stool guaiac test. The nurse would respond that the test is used to detect which of the following in the stool?
1. gross blood 2. ova and parasites 3. abnormal amounts of bilirubin 4. hidden blood
The nurse evaluates the client who has an open wound after 3 days of moist heat applications. Which client assessment data indicates that the nurse should discontinue the therapy?
1. Skin slightly reddened 2. Range of motion increased 3. Wound drainage decreasing 4. Regional sensation unchanged