A pregnant patient is developing HELLP syndrome. During labor, which order should the nurse question?
A) Assess urine output every hour.
B) Prepare for epidural anesthesia.
C) Position on the left side during labor.
D) Assess blood pressure every 15 minutes.
B
Feedback:
In the HELLP syndrome, patients develop low platelet counts. With a low platelet count, injections such as epidural anesthesia are contraindicated. This is the order that the nurse should question. The patient's urine output should be assessed every hour because renal failure is a complication of this syndrome. Positioning on the left side during labor will help blood flow to the uterus. Assessing blood pressure every 15 minutes is appropriate for the patient with this syndrome.
You might also like to view...
Which of the following is most appropriate to use in screening the vision of a 2-year-old child?
a. Allen test c. Snellen's E chart b. Hirschberg test d. Snellen's chart
An 80-year-old woman injured her foot on a piece of rusty wire. She tells the nurse she had a tetanus booster when she was 75. The nurse's response will be based on the knowledge that tetanus boosters
a. should be repeated every 5 years. b. are not necessary for persons older than 70. c. do little good for the older adult. d. should be repeated with every injury, regardless of the previous booster.
A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin), which will be administered twice a day
What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.) What will be an ideal response?
Which area of the fundus is the central focal point for incoming images?
A) The fovea B) The macula C) The optic disk D) The physiologic cup