In caring for a client with a uterine rupture, the nurse determines which nursing diagnoses to be appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Gas Exchange, Impaired
2. Fear related to unknown outcome
3. Coping, Ineffective
4. Mobility: Physical, Impaired
5. Anxiety


1, 2, 3, 5
Explanation: 1. Gas Exchange, Impaired diagnosis could apply to both mother and fetus.
2. The client would experience fear related to an unknown outcome.
3. Ineffective coping would be due to emergent situation secondary to uterine rupture.
5. There will be anxiety related to emergency procedures and unknown fetal outcome.

Nursing

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1. extravasation of vasopressors, causing tissue perfusion. 2. dysrhythmia drugs, causing ventricular tachycardia. 3. anticoagulants, causing blood clots. 4. immobility and catheters, causing bladder infections.

Nursing

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1. The patient reports having a sprained ankle last week, for which he took ibuprofen. 2. The patient reports smoking a pack of cigarettes a day since he was 16 years old. 3. The patient is 27 years old. 4. The patient is male.

Nursing

A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. The client is put in leather restraints for safety purposes

The client yells that he is going to sue the staff for assault and battery. Under which condition is the staff protected? A) The client is a voluntary commitment and poses no danger to himself or others. B) The client is a voluntary commitment and poses a danger to himself or others. C) The client is an involuntary commitment but poses no danger to himself or others. D) The client is an involuntary commitment and poses a danger to himself or others.

Nursing

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Nursing