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...
What would be a priority nursing action related to the care of a patient taking albendazole (Albenza)?
A) Check blood pressure, pulse, and respirations B) Weigh the patient C) Monitor renal function D) Encourage small, frequent meals
What findings should alert the nurse to a potential complication in a patient with Zika virus?
A) Fever and muscle aches B) Headaches and conjunctivitis C) Muscle weakness and difficulty breathing D) Rash and arthralgia
A client complains of difficulty breathing. What will the nurse most likely assess in this client?
1. Use of accessory muscles 2. Increased respiratory depth 3. Increased respiratory rate 4. Decreased respiratory depth 5. Decreased respiratory rate
A nursing student is about to give a newborn baby a Hepatitis B injection. The student knows that the injection must be given IM. The best place to give an IM injection on a newborn is:
1. The deltoid. 2. The abdomen. 3. The rectus femoris. 4. The forearm.