A woman gave birth to a 7 pound, 6 ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss was approximately 1500 ml. When assessing vital signs, the nurse would be concerned to see:
1. temperature 37.9° C, heart rate 120, respirations 20, blood pressure 90/50.
2. temperature 37.4° C, heart rate 88, respirations 36, blood pressure 126/68.
3. temperature 38.0° C, heart rate 80, respirations 16, blood pressure 110/80.
4. temperature 36.8° C, heart rate 60, respirations 18, blood pressure 140/90.
1
1. Correct. An EBL of 1500 ml with tachycardia and hypotension suggests hypovolemia from excessive blood loss.
2. Incorrect. The vital signs are normal with the exception of an increased RR, which may be secondary to pain from the birth.
3. Incorrect. The vital signs are normal with the exception of the temperature. However, temperature may increase to 38° C during the first 24 hours as a result of the dehydrating ef-fects of labor.
4. Incorrect. The vital signs are normal although the BP is slightly elevated. This may be due to the use of oxytocic medications.
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A nurse is aware that the concepts of genotype and phenotype must be included in any consideration of pharmacogenetics. Which of the following statements is true of these concepts?
A) Genotype is an expression of DNA, but phenotype is a cultural concept. B) Genotype is easily modifiable, but phenotype is not modifiable. C) Genotype is a consequence of the genetic makeup of an individual's parents while phenotype is unique to every individual. D) Genotype is the composition of person's DNA, but phenotype is the manifestation of these genes.
A client who has Alzheimer's disease is being discharged home. What safety instructions does the nurse include in the teaching plan for the client's caregiver?
a. "Keep exercise to a minimum." b. "Place a padded throw rug at the bedside." c. "Install deadbolt locks on all outside doors." d. "Keep the lights off in the bedroom at night."
Anticholingerics are contraindicated for older adults with ________, ________, or ________ disease.
What will be an ideal response?