In caring for an immediate postpartum patient, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:
1. disseminated intravascular coagulation.
2. amniotic fluid embolism.
3. hemorrhage.
4. HELLP syndrome.
1
1. Correct. The diagnosis of DIC is made according to clinical findings and laboratory markers. Physical examination reveals unusual bleeding. Petechiae may appear around a blood pressure cuff on the woman's arm. Excessive bleeding may occur from the site of a slight trauma such as venipuncture sites.
2. Incorrect. These symptoms are not associated with AFE, nor is AFE a bleeding disorder.
3. Incorrect. Hemorrhage occurs for a variety of reasons in the PP patient. These symptoms are associated with DIC. Hemorrhage would be a finding associated with DIC and is not a clotting disorder in and of itself.
4. Incorrect. HELLP is not a clotting disorder, but may contribute to the clotting disorder DIC.
You might also like to view...
The stage of the illness experience in which the person is relieved of obligation, allowed to be passive, but expected to get well is called
1. symptom experience. 2. medical care contact. 3. dependent patient role. 4. recovery and resumption of roles.
The nurse is administering packed red blood cells to a child with sickle cell disease. The nurse knows that a transfusion reaction is most likely to occur:
1. 6 hours after the transfusion is given. 2. Within the first 20 minutes of administration of the transfusion. 3. At the end of the administration of the transfusion. 4. Never. Blood reactions to transfusions do not occur.
Which of the following chart entries represents a pitfall in documentation?
a. Restless and combative; SaO2 87% b. Patient demanding and difficult to please c. Discovered in bathroom; instructed to ask for assistance before ambulating d. Three-centimeter area of serosanguineous drainage noted on the dressing to the left hip
When caring for a client with pelvic inflammatory disease (PID), nursing interventions will include:
A) having the client take sitz baths b.i.d. B) keeping the client on bed rest in a semi-Fowler's position. C) instructing client to use tampons. D) ambulating client frequently.