The patient at 34 weeks' gestation has been stabbed in the low abdomen by her boyfriend. She is brought to the emergency department for treatment
Which statements indicate that the patient understands the treatment being administered? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The baby needs to be monitored to check the heart rate."
2. "My bowel has probably been lacerated by the knife."
3. "I might need an ultrasound to look at the baby."
4. "The catheter in my bladder will prevent urinary complications."
5. "The IV in my arm will replace the amniotic fluid if it is leaking."
1,3
Rationale 1: Penetrating trauma to the abdomen during advanced pregnancy often results in ruptured membranes, with external leaking of fluid. The baby will be evaluated with electronic fetal monitoring and ultrasound examination to determine hemodynamic stability and look for injuries.
Rationale 2: The pregnancy usually sustains the majority of the damage, sparing the bowel from injury.
Rationale 3: The baby will be evaluated with electronic fetal monitoring and ultrasound examination to determine hemodynamic stability and look for injuries.
Rationale 4: The Foley catheter is placed to assess for hematuria.
Rationale 5: The IV will replace intravascular volume, not amniotic fluid.
You might also like to view...
A woman has the BRCA mutations and has been diagnosed with a tumor of the left breast which has not responded to chemotherapy. Which of the following treatments will be most difficult for the woman?
A) More aggressive chemotherapy B) Left mastectomy C) Radiation therapy D) Bilateral mastectomy
The nurse is caring for a patient with increased intracranial pressure (ICP) caused by a traumatic brain injury
Which of the following clinical manifestations would suggest that the patient may be experiencing increased brain compression causing brain stem damage? A) Hyperthermia B) Tachycardia C) Hypertension D) Bradypnea
When teaching an older patient about diet therapy, the nurse plans to assess for barriers to adherence, including which factors? (Select all that apply.)
a. Lifelong habits b. Cultural influences c. Finances d. Dependency e. Inability to learn
All of the following data are collected from a patient. Which is an example of objective data?
a. The patient reports having a headache. b. The patient's pulse is 88 beats per minute. c. The patient states that she is frightened. d. The patient states that she is having pain in her abdomen.