A client at 33 weeks' gestation calls the healthcare provider's office and reports she was attempting to nap when she became dizzy and felt faint. Which assessment data is the priority in this situation?
1. The position the client was in during the nap period.
2. Dietary intake prior to the episode.
3. History of hyperemesis.
4. No additional data as this appears to be an isolated incident.
Correct Answer: 1
The client has most likely experienced an episode of supine hypotension. This is caused by compression on the aorta and the inferior vena cava by the pregnant uterus. This is a common occurrence when the client is in the supine position. Dietary factors and the presence of hyperemesis are not implicated in this client's scenario. The nurse must investigate the complaints to ensure client safety.
You might also like to view...
A critical care nurse is caring for a patient with autoimmune hemolytic anemia. The patient is not responding to conservative treatments, and her condition is now becoming life-threatening
The nurse is aware that a treatment option in this case may include what? A) Hepatectomy B) Vitamin K administration C) Platelet transfusion D) Splenectomy
For which of the following clients is preimplantation genetic diagnosis (PGD) a viable option?
A) Prevention of DiGeorge syndrome B) Prevention of pyloric stenosis C) Clients carrying the cystic fibrosis gene D) Client in the second week of pregnancy
Nurses understand that the underlying belief of patients who have "anorexia" is that being thin will:
A) Decrease their problems B) Make them smarter C) Increase their control over other people D) Increase their popularity and acceptance
The nurse is preparing to administer a medication from a unit-dose system. The nurse verifies that the medication, dose, and time are correct and that the expiration date was the day prior. Which action is correct?
a. Administer the medication and observe for adequate drug effects. b. Notify the pharmacist and provider of a medication error. c. Return the medication to the pharmacy to be replaced. d. Verify the right patient and administer the medication.