A pregnant patient in the second trimester is in the emergency department after a motor vehicle crash. She has a severe laceration of her arm resulting in a large blood loss. Which assessment should the nurse perform first?
A.
Blood pressure
B.
Fetal heart tones
C.
Pulse
D.
Respiratory rate
ANS: C
Because a woman's blood volume can increase dramatically during pregnancy, blood pressure is an unreliable indicator of a volume deficit. Maternal pulse and fetal heart rate are much more accurate indicators. Because the priority in care of the pregnant trauma patient is care of the mother, the nurse should assess the mother's blood pressure first.
You might also like to view...
The patient has cirrhosis of the liver and an albumin/globulin ratio of 0.9 g/dL. The normal ratio is 1.2 to 2.2 g/dL. In collecting objective data for her, the nurse would probably note which outstanding clinical sign?
a. Jaundice b. Edema c. Pruritus d. Pallor
Which foods should the nurse recommend to a patient who appears to be deficient in the B-complex vitamins?
A) Limes B) Prunes C) Yellow vegetables D) Leafy green vegetables
Identify the clinical indications for the use of mycophenolate mofetil (CellCept).
A. Mycophenolate mofetil is used in the treatment of rheumatoid arthritis. B. Mycophenolate mofetil is used in the treatment of Crohn's disease. C. Mycophenolate mofetil is used to control immune-based diseases such as lupus erythematosus. D. Mycophenolate mofetil is used in renal organ transplantation to prevent rejection.
Which of the following activities may be prescribed for a client with adjustment disorder with anxious mood as a constructive outlet for tension and anxiety while enhancing self-esteem?
1. Knitting scarves for a homeless shelter 2. Painting a "paint-by-number" picture 3. Working on a large picture puzzle 4. Engaging in physical exercise