Which of these obstetrical problems may precipitate a client developing disseminated intravascular coagulation (DIC)?
a. hyperemesis gravidarum c. spontaneous abortion
b. preterm labor d. pregnancy-induced hypertension
D
Disseminated intravascular coagulation is an overstimulation of the normal clotting process. Obstetric conditions that can precipitate DIC include abruptio placenta, placenta previa, hydatidiform mole, pregnancy-induced hypertension, retained products of conception, amniotic fluid embolism, and infections. Many medical-surgical conditions, such as neoplasms, blood transfusion reactions, trauma, and infections can also cause DIC. The client may have dyspnea or chest pain, become restless and cyanotic, and have frothy, blood-tinged mucus. Immediate delivery of the fetus is indicated.
You might also like to view...
When working with a client who has recently relocated from another country, the nurse gathers data on the heritage and current residence of the client
Which of the following would indicate to the nurse that the client is at risk for delayed acculturation? 1. Living in a neighborhood with others of similar culture who lived in the U.S. for several generations 2. Living in a neighborhood that is diverse 3. Living in a neighborhood with many recent immigrants from the same culture 4. Having several school-aged children
Poor literacy is a problem that interferes with a patient's ability to deal with the health care setting. What can contribute to a patient's literacy problems?
a. The patient is hearing-impaired. b. The patient cannot read health content. c. The patient's family is not involved. d. The patient lives alone.
An older client with asthma is prescribed a rescue inhaler of albuterol. What should the nurse instruct the client about using this medication? Select all that apply.
1. Refrigerate unused canisters until needed. 2. Metered dose inhalers must be used with a spacer. 3. Label each canister with bright red tape. 4. Obtain a prescription for extra canisters. 5. Keep inhalers in multiple areas in the home.
The nurse understands that the priority benefit of enteric-coated aspirin preparations is to prevent
a. Reye's syndrome. b. salicylism. c. gastritis. d. acid-base imbalance.