A client with a total placenta previa presents to the hospital at 8 months, bleeding and is delivered by cesarean section. Which potential nursing diagnosis is most pertinent during the initial postpartum period?
a. Pain related to surgical incision
b. Ineffective breastfeeding related to operative delivery
c. Deficient fluid volume (hemorrhage) related to uterine atony
d. Risk for injury related to the development of deep vein thrombosis
C
Deficient fluid volume (hemorrhage) related to uterine atony is an appropriate priority nursing diagnosis for this client. Deep vein thrombosis is not a realistic concern. A cesarean birth should not negatively impact breastfeeding. While pain related to surgical incision is an appropriate nursing diagnosis, it is not the pertinent one at this time, because the regional block is still in effect.
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The client who has been taking the oral antidiabetic agent pioglitazone (Actos) for 6 months reports to the nurse that his urine is darker than it used to be. What is the nurse's best action?
A. Notify the physician. B. Document the report as the only action. C. Instruct the client to increase his water intake. D. Test a sample of urine for the presence of occult blood.
You are preparing to do a research study on the effects of tight insulin control for diabetes
Using your knowledge that epidemiologic research can be descriptive or analytical, what would be the weakest study design to consider? A) Retrospective B) Quasi-experimental C) Experimental D) Randomized, controlled group
A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by asking:
a. "Tell me why you were crying." b. "How did your wrists get injured?" c. "How can I help you feel more comfortable?" d. "What was happening just before you started to feel this way?"
Signs or symptoms that may be the result of abuse include
A) a toothache. B) bruises. C) dry skin. D) unmatched clothing.