A woman with heart disease has delivered and is now in the postpartum unit. When caring for this woman, the nurse recognizes that:
a. The woman's care needs to be no different from that of any other postpartum patient.
b. Major circulatory readjustment in the postpartum period may cause heart failure even 4 or 5 days postpartum.
c. The danger period will end after the first 24 hours postpartum.
d. The danger period will end after the first 72 hours postpartum.
ANS: B
During the postpartum period, approximately 4 to 5 days after delivery, decreased peripheral vascular resistance and pulmonary embolism are two major problems that can occur in the woman with heart disease.
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A 3-year-old child is lying in a fetal position. The child has pale skin, glassy eyes, and a flat affect. The child is irritable, and refuses food and fluids
The child's vital signs are a temperature of 40.1ºC (104.2ºF), pulse of 120/minute, and respirations of 28/minute. The best, most comprehensive description of this child's condition is: 1. Toxic. 2. Feverish. 3. Flushed. 4. Tired.
The nurse working in a free community clinic knows that access to health care is affected negatively by lack of health insurance. Which of the following accurately describe the effect of lack of insurance on family health? Select all that apply
A) Parents with uninsured children often delay care and are less likely to take their children to a doctor or dentist for preventive care. B) The percentage of children without health insurance is beginning to decrease slightly from previous years. C) Currently, the states have improved enrollment in Medicaid and the State Children's Health Insurance Program (SCHIP). D) Despite state efforts to ensure all children, nearly two-thirds of children eligible for these public programs are not enrolled. E) In most states, men and women of the same health status and age are charged similar rates for the same individual health insurance policy.
Nurse accountability, which involves the delivery and accurate documentation of quality care, is vital. Healthcare facilities and agencies have contiguous (or continuous) quality improvement committees. What is the role of this committee?
A) Monitors quality of ongoing care B) Caters to employees who are unable to work C) Assigns recognition to hospitals D) Offers health services.
The manufacturer's instructions for an autoclave (sterilizing unit) in a clinic specify that the autoclave must reach a temperature of 121°C under 15 pounds per square inch of pressure for a minimum of 15 minutes to ensure sterilization. The technician who is doing routine maintenance on the machine will check the operating temperature using a Fahrenheit thermometer. If the autoclave is working properly, the temperature should be ________ (round to the nearest tenth).
Fill in the blank(s) with the appropriate word(s).