Exhibits
The nurse has reviewed the client's chart. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The nurse recognizes that this client is due to .
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Hemorrhaging:
The client exhibits signs of excessive vaginal bleeding, as indicated by a boggy fundus and saturated pads and sheets beneath her. The significant blood loss is concerning, especially following a 4th-degree laceration and the recent delivery.
Uterine Atony:
The fundus is noted to be boggy (soft) at multiple assessments, which is a key indicator of uterine atony. This condition is the most common cause of early postpartum hemorrhage and occurs when the uterus fails to contract effectively after delivery, leading to excessive blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Allowing the client to hold the nurse's hand might provide temporary comfort but does not address the underlying anxiety the client is experiencing.
B. Pulling up a chair and sitting beside the client's bed shows empathy and provides emotional support, helping the client feel more secure during a vulnerable time. This approach allows the nurse to complete the vital signs while still being present for the client.
C. Telling the client to release the nurse's hand may be perceived as dismissive and could increase the client's anxiety, potentially exacerbating their distress.
D. Reassuring the client that the nurse will return after taking vital signs is important but may not provide the immediate comfort that sitting beside the client would.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Acute stress disorder (ASD) is characterized by symptoms such as intrusive memories, nightmares, and negative mood changes following a traumatic event, which aligns with the client's experiences of having horrible thoughts and memories about her house collapsing.
Traumatic stress exposure refers to the distressing experience she endured during the hurricane when her house collapsed, leading to her current emotional state.
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