On assessment, a labor patient is noted to have frothy sputum, a heart rate of 110, and a large amount of continuous vaginal bleeding. The nurse should suspect:
1. An amniotic fluid embolus.
2. Placental abruption.
3. DIC.
4. Congestive heart failure.
1
Rationale 1: These are symptoms of an amniotic fluid embolus and cor pulmonale.
Rationale 2: Placental abruption does not have any of these symptoms.
Rationale 3: Hemorrhage, but not the other symptoms, can be associated with DIC.
Rationale 4: Vaginal bleeding is not associated with congestive heart failure.
You might also like to view...
Morbid obesity is defined as:
A. Body weight over 200 pounds no matter how tall the person is. B. Body mass index (BMI) over 30. C. Whatever is determined by the individual's physician. D. BMI over 35.
An older adult client is prescribed a diuretic and an antihypertensive drug as treatment for his hypertension. The client tells the nurse that he has been perspiring a lot lately and has had some diarrhea
Which nursing diagnosis would the nurse most likely identify as a priority? A) Risk for Deficient Fluid Volume B) Ineffective Sexuality Patterns C) Activity Intolerance D) Acute Pain
The client has a 6-month-old infant. It is part of the infant's bedtime routine to get a bottle of warm milk when he goes down for the night. What is this infant at risk for?
A) Consuming too many calories C) Nursing bottle caries B) Developing diabetes later in life D) Gastric reflux
Betaxolol (Betoptic) eye drops have been prescribed for the client with glaucoma. The nurse monitoring this client for side effects of the medication would place highest priority on which of the following?
1. Pulse rate 2. Blood glucose 3. Respiratory rate 4. Oxygen saturation