A postpartum patient complains of perineal pain. Her uterus is firm, and she has minimal vaginal bleeding. She states that she feels like she needs to urinate and have a bowel movement but has been unable to do either
The nurse suspects that the patient most likely has:
a. A hematoma
b. Subinvolution
c. A postpartum infection
d. Disseminated intravascular coagulation
ANS: A
These are classic signs and symptoms of hematoma. A hematoma is a collection of blood within the tissues that may result from injury to blood vessels in the perineum or vagina. Perineal pain, rather than noticeable bleeding, is a distinguishing characteristic of a hematoma, and the uterus remains firm. Pressure on the urethra may cause difficulty voiding, and pressure on the rectum may feel like the need to have a bowel movement.
You might also like to view...
The psychiatric forensic nurse assigned to a hostage negotiation tactical team is deployed along with the team when a man takes several hostages. The nurse's role within the team would include which tasks? Select all that apply
a. Negotiating directly with the perpetrator b. Directing strategies for police deployment c. Training officers in communication skills d. Assessing the mental status of the perpetrator e. Serving as a liaison to mental health agencies f. Suggesting negotiation techniques to a negotiator
The nurse is assessing a client's self-concept because it helps in determining whether a client will engage in health promotion behaviors. Self-concept is a(n):
a. individual's perception of physical self. b. shaper of behavior. c. individual's belief about her ability to perform a behavior. d. individual's perception of self.
Before administering a medication to a client, the nurse checks the client's pulse, blood pressure, and laboratory values. The nurse is performing which "right" of medication administration?
1. Medication 2. Assessment 3. Route 4. Dose
Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important desired outcome related to the nursing diagnosis: Imbalanced nutrition: less than body requirements. Within 1 week, the patient will:
a. Weigh self accurately using balanced scales. b. Limit exercise to less than 2 hours daily. c. Select clothing that fits properly. d. Gain 1 to 2 pounds.