The nurse is caring for a client at 35 weeks' gestation who has been critically injured in a shooting. Which statement by the paramedics bringing the woman to the hospital would cause the greatest concern?
1. "Blood pressure 110/68, pulse 90."
2. "Entrance wound present below the umbilicus."
3. "Client is positioned in a left lateral tilt."
4. "Clear fluid is leaking from the vagina."
2
Rationale:
1. These are normal vital signs, indicating a hemodynamically stable client.
2. Penetrating abdominal trauma has a 59–80% fetal injury rate. This fetus is at great risk for injury.
3. Positioning the client in a lateral tilt position prevents vena cava syndrome.
4. Clear fluid from the vagina could be amniotic fluid from spontaneous rupture of the membranes. Although this is not a normal finding at 35 weeks, this fetus is near term, and would likely survive birth at this time.
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Perform the indicated operation and reduce to lowest terms
1/12 + 6/12 + 5/12 = ____
The nurse is talking with a patient about her hypertension and her antihypertensive drug therapy. The patient enjoys generally good health apart from her high blood pressure
When assessing the response to an antihypertensive drug regimen what blood pressure would be the goal of treatment? A) 156/96 mm Hg or lower B) 140/90 mm Hg or lower C) Average of 2 BP readings of ?150/80 mm Hg D) 120/80 mm Hg or lower
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