A postpartum woman has a deep vein thrombosis. The patient states, "I feel anxious and have some pain in my chest." The patient's respiratory rate is 28 breaths per minute. The perinatal nurse should prepare to respond to which of the following conditions
A.
Amniotic fluid embolus
B.
Myocardial infarction
C.
Pulmonary edema
D.
Pulmonary embolus
ANS: D
The presence of dyspnea and tachypnea may signal pulmonary embolism. Pulmonary embolism is a complication of deep vein thrombosis (DVT) that occurs when part of a blood clot breaks away and travels to the pulmonary artery, where it occludes the vessel and obstructs blood flow to the lungs.
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A patient with gallstones has been prescribed ursodeoxycholic acid (UDCA). The nurse understands that additional teaching is needed regarding this medication when the patient states:
A) "It is important that I see my physician for scheduled follow-up appointments while taking this medication." B) "I will take this medication for 2 weeks and then gradually stop taking it." C) "If I lose weight, the dose of the medication may need to be changed." D) "This medication will help dissolve small gallstones made of cholesterol."
A patient is suspected as having sprue. What diet teaching does this patient need?
1. Avoid high-protein foods. 2. A vegetarian diet is the best treatment for this condition. 3. Gluten products must be eliminated from the diet. 4. All whey products must be eliminated from the diet.
A patient presents at the walk-in clinic in extreme fear. The nurse knows that phobia rarely occurs unless that patient
A) Thinks about the feared object or situation B) Talks about the feared object or situation C) Realizes that the fear is not rational D) Comes in contact with the feared object or situation
Which constitutes dual diagnosis?
A) Cannabis abuse and heroin dependence B) Alcohol dependence and type I bipolar disorder C) Major depressive disorder and dysthymia D) Generalized anxiety disorder and dependent personality disorder