Soon after delivery, the mother grabs the nurses arm and states, "Something's wrong…I can't get my breath." Which of the following assessments lead the nurse to suspect the client has had an amniotic emboli travel to the lungs? Select all that apply
A) BP 90/65; pulse 130, irregular; respiratory rate 35, shallow.
B) Intercostal traction noted on inspiration.
C) +3 pitting edema in lower extremities.
D) Trachea has shifted and is no longer midline.
E) Productive cough with blood-streaked sputum.
Ans: A, E
Feedback:
The embolism may consist of amniotic fluid that has entered the maternal circulation during childbirth. Persons with moderate-sized emboli often present with breathlessness accompanied by pleuritic pain, apprehension, slight fever, and cough productive of blood-streaked sputum. Tachycardia often occurs to compensate for decreased oxygenation, and the breathing pattern is rapid and shallow. Intercostal traction is usually associated with atelectasis; pitting edema is a sign of right-sided heart failure; trachea shift is a classic sign of a tension pneumothorax.
You might also like to view...
Type I hypersensitivities can occur on the first exposure to antigen
Indicate whether this statement is true or false
The ____________________ is the narrower, necklike portion at the lower end of the uterus.?
Fill in the blank(s) with correct word
The term to describe a surgical procedure to pull up the bladder and secure it if the pelvic floor muscles are weak is a
A. cystorrhexis B. cystopexy C. cystorrhaphy D. cystoplasty E. cystotomy
According to the latest physical activity recommendations for adolescents, they should engage in moderate to vigorous physical activity at least
a. 30 minutes per day. b. 60 minutes per day. c. 20 minutes, three days per week. d. 60 minutes, five days per week.