The nurse is evaluating the plan of care for a pregnant patient with a heart disorder
The nurse concludes that the plan was successful when data indicate that the woman: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Gave birth to a healthy baby.
2. Did not develop congestive heart failure.
3. Developed thromboembolism.
4. Identified manifestations of potential complications.
5. Can identify her condition and its impact on her pregnancy, labor and birth, and postpartum period.
1,2,4,5
Rationale 1: Giving birth to a healthy baby is an expected outcome of the pregnancy.
Rationale 2: An expected outcome is that the woman does not develop congestive heart failure, thromboembolism, or infection.
Rationale 3: An expected outcome is that the woman does not develop congestive heart failure, thromboembolism, or infection.
Rationale 4: An expected outcome is that the woman is able to identify potential complications and notify the healthcare provider.
Rationale 5: The woman must be able to discuss her condition and its possible impact on her pregnancy, labor and birth, and the postpartum period.
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Before becoming an effective advocate for the older adult patient, the nurse must
a. be familiar with the physical and mental effects of aging. b. gain insight into the patient's world by talking with and listening to him or her. c. learn the details of the patient's medical and social histories. d. be a member of the patient's formal sup-port system.
An 85-year-old patient's blood gasses are as follows: pH 7.4, PAO2 75 mmHg, PACO2 38 mmHg, HCO3 25. What action by the nurse is best?
a. Administer oxygen per facemask b. Assess the patient's shortness of breath c. Assess the patient's oxygen saturation d. Document the findings in the chart
Anemia of chronic renal failure can be successfully treated with which element?
a. Intrinsic factor b. Vitamin B12 c. Vitamin D d. Erythropoietin
The nurse notices that the ST segment is depressed on a patient reporting chest pain. What action should the nurse take?
a. Review the ECG recordings in the patient's chart. b. Auscultate chest sounds, and continue physical assessment. c. Alert the supervising RN and patient's physician immediately. d. Continue to monitor the electrocardiogram (ECG) to determine if ST segment depression continues.