After a lengthy labor and delivery, a client suddenly complains of chest pain and dyspnea. The client is cyanotic, has tachycardia and blood pressure decreased to 78/36 mmHg. Based on these assessment findings, which health problem is the client experiencing?
1. Infection
2. Placenta accreta
3. Hypertensive crisis
4. Amniotic fluid embolus
4
Explanation:
1. These are not manifestations of an infection.
2. Placenta accreta occurs when the chorionic villi attach directly to the uterine myometrium. The major complications of placenta accreta include maternal hemorrhage and failure of the placenta to separate following birth of the infant.
3. The client is hypotensive.
4. Signs and symptoms of amniotic fluid embolus include chest pain, dyspnea, tachycardia, hypotension, and cyanosis. The condition may progress to hemorrhage, shock, and death.
You might also like to view...
The nurse is teaching the patient who will require long-term corticosteroid therapy how to reduce the risk of infection. What suggestions will the nurse include?
A) "Avoid large crowds of people tightly packed together." B) "Avoid working in areas with other people." C) "Avoid exercising to reduce risk of injury." D) "Avoid touching other people who may carry germs."
When patients are concomitantly taking bile acid sequestrants and warfarin, what information should the nurse provide?
a. "Beware of the potential for excessive bleeding." b. "Discontinue the warfarin." c. "Take the warfarin 1 hour before the sequestrant." d. "Take the medications at the same time each day."
The nurse is screening a patient for latex allergy. Which factors should she consider that place the patient at a higher risk for latex allergies? (Select all that apply.)
a. High latex exposure b. History of using condom catheters c. Urogenital defects d. History of multiple childhood surgeries
A student does not like the way the content in class is presented. The faculty member does not present the content in an orderly manner but randomly asks questions and discusses topics that were listed on the white board
After class, the student goes to the computer lab, researches the topics presented in class, and reads several articles on the topics. This student is: a. multi-tasking in her study time. c. wasting emotional energy in aggressive behavior. b. feeling overwhelmed and frustrated. d. studying in her preferred learning style.