The nurse is caring for a postpartum woman whose baby was delivered by cesarean birth because of abruptio placentae. The nurse recognizes that she must be alert for which sign(s) and/or symptom(s)? (Select all that apply.)
a. Bleeding gums
b. Bleeding from injection sites
c. Fatigue
d. Epistaxis
e. Dry skin
f. Petechiae
ANS: A, B, D, F
The patient with abruptio placentae is at risk for disseminated intravascular coagulation (DIC). Signs of developing DIC include bleeding gums, bleeding from injection sites, epistaxis, and petechiae. Nurses who are alert to these signs can help in early diagnosis so that treatment can be started as soon as possible.
You might also like to view...
The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
a. a meta-analysis. b. an integrative literature review. c. a systematic review. d. grounded theory research.
The nurse is conducting a teaching session with older clients at the community center about the risks for peptic ulcers found with this age group. The nurse includes which of the following information in the session?
1. Peptic ulcer disease (PUD) is likely to be infected with the bacteria H. pylori. 2. PUD in an older client causes less bleeding than in a younger client. 3. The elderly client experiences more severe abdominal pain than a younger client with PUD. 4. Older clients should undergo colonoscopy.
A nurse is percussing the thorax of a patient with chronic emphysema. What percussion sound would most likely be assessed?
A) resonance B) hyperresonance C) flat D) tympany
On the nurse's second visit to the family, further assessment allowed creation of a family map. What would such a map help the nurse understand?
A. Communicator and leader who speaks for the family B. Genogram or family tree of the family C. Geographic location of neighborhood resources for the family D. Organization such as roles, interaction patterns, and relationships within the family