Which situation in the high-risk antepartal unit requires immediate intervention?
1. Fetal monitoring is being performed on a client in her third trimester who is scheduled for a cholecystectomy tomorrow.
2. A third-trimester client pregnant with twins who required an appendectomy yesterday is positioned in a supine position.
3. Oxygen is being administered at 2 L via nasal cannula to a client in her third trimester who underwent a urolithotomy today.
4. The client in her third trimester who returned from bowel resection surgery has a nasogastric tube attached to intermittent suction.
2
Explanation:
1. Fetal monitoring prior to, during, and after surgery on pregnant clients is important to assess the fetal condition.
2. A client undergoing surgery in the third trimester should be positioned in a left lateral position or with a hip wedge placed under the right hip. Being supine will cause vena cava syndrome and hypotension, which in turn will decrease fetal oxygenation. Twin gestation, with the larger uterus and heavier uterine contents, makes vena cava syndrome more problematic.
3. Oxygen is required during and after surgery during pregnancy to maintain adequate fetal oxygenation.
4. Due to the decreased peristalsis of pregnancy, pregnant clients who undergo abdominal surgery are at risk for vomiting. A nasogastric tube is placed to prevent vomiting.
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To teach a family member the skill of injecting insulin effectively, the home health nurse will do which of these? Prioritize these nursing interventions for this situation:
1. Offer instruction at an appropriate pace. 2. Write down the steps of the procedure. 3. Assess the level of knowledge of the family member. 4. Inquire about the preferred learning style. 5. Evaluate the family member's performance.
The client is diagnosed with dyslipidemia. This diagnosis is supported when the client's lipid panel indicates a: Select all that apply
a. triglyceride level of triglyceride levels (>2000 mg/dL). b. Low Density Lipids (LDL) level of 120 mg/dL. c. Total Cholesterol level of 260 mg/dL. d. High Density Lipids (HDL) level of 70 mg/dL. e. Glucose level of 230 mg/dL.
The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing
Fill in the blank with the correct word.
A patient with a history of PKU tells the nurse that she has decided to try to become pregnant. Her serum phenylalanine level is 10 mg/dL. Which is an appropriate response for the nurse to make?
A) "Think carefully about the decision. The child might be mentally retarded if she inherits your PKU, especially if your levels stay that high." B) "It will be best if you cut back on meat, fish, and dairy products before you become pregnant to get your serum phenylalanine level down under 8 mg/dL." C) "It will be best if you cut back on vegetables and fruit before you become pregnant to get your serum phenylalanine level down under 8 mg/dL." D) "The baby won't be able to breast-feed. You know breast-feeding is really the best way to care for a newborn."