A woman is 30 weeks pregnant. She has come to the hospital because her membranes have ruptured. Based on this information, which nursing diagnosis could be made for the mother? Risk for:
1. Impaired gas exchange.
2. Infection.
3. Ineffective individual coping.
4. Fluid volume deficit.
2
Rationale:
1. This client is not at risk for fluid volume deficit or impaired gas exchange.
2. Because of the rupture of membranes and the preterm status, an attempt will be made to mature the fetal lungs and maintain the pregnancy for as long as possible. Therefore, the greatest risk is for infection.
3. There is not enough information to determine how the client is coping.
4. This client is not at risk for fluid volume deficit or impaired gas exchange.
You might also like to view...
What components of sound does the cochlea interpret? (Select all that apply.)
A) Tone B) Direction C) Amplitude D) Decibel E) Frequency
A client requires wound debridement. The nurse is aware that which one of the following state-ments is correct regarding this procedure?
1. It allows the healthy tissue to regenerate. 2. When performed by autolytic means, the wound is irrigated. 3. Mechanical methods involve direct surgical removal of the eschar layer of the wound. 4. Enzymatic debridement may be implemented independently by the nurse when-ever it is required.
After review of K.B.'s history and diagnostic test results, K.B. is diagnosed with alzheimer's dementia. the physician calls a family conference to discuss the implications with K.B. and his daughter
What neuroanatomic changes are seen in individuals with Alzheimer's disease? List at least three interventions you would plan for K.B.
A 32-year-old construction worker smokes a pack of cigarettes per day. This is an example of which of the following?
A. Health belief B. Health promotion C. Negative health behavior D. Basic human need