A high-risk labor client progresses from preeclampsia to eclampsia. Aggressive management is instituted, and the fetus is delivered via cesarean section
Which finding in the immediate postoperative period indicates that the client is at risk of developing HELLP syndrome?
a. Platelet count of 50,000/mL
b. Liver enzyme levels within normal range
c. Negative for edema
d. No evidence of nausea or vomiting
ANS: A
HELLP syndrome is characterized by hemolysis, elevated liver enzyme levels, and a low platelet count. A platelet count of 50,000/mL indicates thrombocytopenia.
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A 48-year-old patient with a comminuted fracture of the left femur has Buck's traction in place while waiting for surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin care, the nurse should
a. loosen the traction and help the patient turn onto the unaffected side. b. place a pillow between the patient's legs and turn gently to each side. c. turn the patient partially to each side with the assistance of another nurse. d. have the patient lift the buttocks by bending and pushing with the right leg.
A nurse is aware that a patient is at increased risk for falling due to orthostatic hypotension. This risk contravenes the use of which method of heat therapy?
1. Warming blanket 2. Aquathermia pad 3. A sitz bath 4. Warm soaks
Why is subacute care called transitional care?
What will be an ideal response?
Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
A. Restrict fluids B. Encourage ambulation C. Increase sodium in the diet D. Give antacids as prescribed