Postpartum hemorrhage can cause hypovolemic shock. If a postpartum patient is experiencing hypovolemic shock resulting from uterine atony, important nursing diagnosis is fluid volume deficit related to excessive blood loss. Which of the following complications is most likely responsible for a delayed postpartum hemorrhage? Uterine subinvolution Perineal laceration Clotting deficiency Cervical laceration
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Postpartum hemorrhage can cause hypovolemic shock. If a postpartum patient is experiencing hypovolemic shock resulting from uterine atony, important nursing diagnosis is fluid volume deficit related to excessive blood loss. Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?
- Uterine subinvolution
- Perineal laceration
- Clotting deficiency
- Cervical laceration
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- The nurse is caring for a patient who is 1 hour postpartum after a normal vaginal delivery. She is receiving oxytocin to control uterine atony and postpartum hemorrhage. What does the nurse need to know about postpartum hemorrhage?Case Scenario Jennielyn, 30-year-old is a G5P4 at 38 weeks’ gestation delivers vaginally with a midline episiotomy. Upon arrival to the postpartum unit, her pad and bed linens are saturated with blood. You palpate her fundus and find that it is sift and boggy. GUIDE QUESTIONS: What initial nursing interventions can you provide to the client? Briefly , provide the rationale. What drugs do you think would be administered to Jennielyn? Explain the mechanism of action and nursing consideration in giving of this drug.please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyp
- The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? Dyspareunia Hot flashes Weight gain AmenorrheaNurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply) Coordinated uterine contractions Persistent nonreassuring fetal heart rate Maternal fatigue Uncoordinated uterine contractions Progressive changes in the cervixRecognize risk factors for postpartum hemorrhage. Identify postpartum hemorrhage due to uterine atony. Demonstrate teamwork and communication skills during a simulated postpartum hemorrhage. Mrs. Marla Togan is a 38-year-old G3P2 who was admitted in active labor at 39 + 3 weeks and had a spontaneous vaginal delivery 30 minutes ago. Her delivery was uncomplicated. She had a first-degree laceration that did not require repair. She is approximately 30 minutes postpartum and has just called out because she is feeling dizzy and had more bleeding. Her initial vitals are - BP 130/80, HR 105bpm, R 18bpm, EBL (expected blood loss) 500cc. Her vitals now read - BP 90/66, HR 125bpm, R 22bpm, EBL 1000cc (American College of Obstetrician and Gynecology 2019). Lab Data Hemoglobin: 12.2 Hematocrit: 36.6 WBC: 12,000 Platelets: 218,000
- note that matches each definition below Chart Note PATIENT NAME: Thomas, Richard MR NUMBER: 551682 EXAMINATION DATE: August 29, 20xx SUBJECTIVE Patient complains of scrotal and genital pain. There is also dysuria often associated with purulent discharge. OBJECTIVE Richard is a sexually active 20-year-old male, who by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on the lateral aspect of his left testis. ASSESSMENT Evaluate for gonorrhea. PLAN Culture test for gonorrhea.For each CPT code, report the diagnosis codes that support it. PREOPERATIVE DIAGNOSIS: Urinary retention.POSTOPERATIVE DIAGNOSIS: Recurrent prostatic hyperplasia.PROCEDURE PERFORMED: Cystoscopy and transurethral resection of the prostate.SURGEON: Edith Hopkins, MDANESTHESIA: Spinal.CLINICAL NOTE: This is a 75-year-old gentleman who underwent right hip arthroplasty. This gentleman had undergone a right transurethral resection of the prostate for urinary retention 4 months ago and has again developed urinary retention. He has had several trials of voiding with both alpha blockade and bethanechol. Cystoscopy revealed recurrent prostatic hyperplasia. There is a large piece of tissue acting as a ball valve.PROCEDURE: The patient was given a spinal anesthetic, prepped, and draped in the lithotomy position. A 28-French resectoscope was passed under direct vision. Again, the prostate shows irregular ingrowth and obstruction. The bladder shows mild to moderate trabeculation. The prostate was…The nurse performing a postpartum assessment on a cllent, and notes the presence of clots in the lochia. The nurse examines the clots and notes that they are multiple, larger than 1 cm. Which of the following nursing actions is the most appropriate? a. Notify the physician b. Reassess the client in two hours c. Encourage increased oral fluid intake d.Document the findings
- An 18-year-old college athlete who has been traveling long distances over the last week presents to the clinic with two days of dysuria, frequency, and urgency with no fever, incontinence, rashes, or vaginal discharge. She does not have any previous past medical history. On a physical exam, where would you most expect to elicit tenderness with palpation for the most likely diagnosis? Answers: A-D A Epigastric Region B Periumbilical Region C Costovertebral Angle D Suprapubic Region O OThe doctor prescribes 10,000 units of heparin added to 500 ml of D5W at 1,200 units/hour. How many drops per minute should you administer if the I.V. tubing delivers 10 gtt/ml? : 1h child if the order callsCASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…