In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out, when I lie down flat on my back.". The nurse integrates which of the following in to the explanation?
A) Pressure of the gravid uterus on the vena cava
B) A 50% increase in blood volume
C) Physiologic anemia due to hemoglobin decrease
D) Pressure of the presenting fetal part on the diaphragm
A
Feedback:
The client is describing symptoms of supine hypotension syndrome, which occurs when the heavy gravid uterus falls back against the superior vena cava in the supine position. The vena cava is compressed, reducing venous return, cardiac output, and blood pressure, with increased orthostasis. The increased blood volume and physiologic anemia are unrelated to the client's symptoms. Pressure on the diaphragm would lead to dyspnea.
You might also like to view...
The nurse is reading the hypothesis of a research study which is: To what extent does level of education predict compliance with the prescribed diet in clients with newly diagnosed type I diabetes? The dependent variable in this hypothesis would be:
a. level of education. c. newly diagnosed. b. compliance with the prescribed diet. d. clients with type 1 diabetes.
Which activity is an example of a nursing intervention with a population aggregate at the primary level of prevention?
a. preparing and presenting a class on relaxation techniques to mental health workers b. taking a field trip to the grocery store to practice shopping skills with ill clients c. screening a group of clients for hypertension at the community mental health center d. presenting medication information to a group of clients with long-term mental illness
The nurse is teaching new parents how to dress their newborn. Which statements indicate that teaching has been effective?
1. "We should make sure that we keep our home air-conditioned so the baby doesn't overheat." 2. "It is important that we dry the baby off as soon as we give him a bath or shampoo his hair." 3. "When we change the baby's diaper, we should change any wet clothing or blankets, too." 4. "If the baby's body temperature gets too low, he will warm himself up without any shivering." 5. "Our baby will have a much faster rate of breathing if he is not dressed warmly enough."
A client asks if he could use an over-the-counter bulk-type laxative. Which assessment finding would cause the nurse to tell the client not to use this drug?
1. The client is over age 60. 2. The client takes warfarin every other day. 3. The client has type 2 diabetes. 4. The client has a history of fecal impaction. 5. The client is allergic to penicillin.