The client is at risk for developing which of the following 2 complications?

Select 2 complications the client is at risk for developing.

Sepsis

Placenta previa

Disseminated intravascular coagulation

Preeclampsia

Preterm prelabor rupture of membranes (PROM)

Seizures

Answer and Explanation

Correct Answer : A,E

A.   Sepsis
Sepsis is a systemic infection that can occur during pregnancy, particularly if there is an infection such as chorioamnionitis (infection of the amniotic sac) or endometritis (infection of the uterine lining). The client's fever (38.4°C) could be indicative of infection, which is a risk factor for sepsis.
B.   Placenta Previa
Placenta previa occurs when the placenta implants in the lower part of the uterus, covering the cervix. This can cause vaginal bleeding and may lead to complications during labor. However, this is not related to the client's current symptoms.
C.   Disseminated Intravascular Coagulation (DIC)
DIC is a serious condition that can occur due to pregnancy complications like abruptio placentae, infection, or severe preeclampsia. However, the client’s symptoms do not indicate bleeding, bruising, or other signs of DIC. The client's blood pressure (130/78) is normal, and there are no indications of placental abruption.
D.   Preeclampsia
Preeclampsia is characterized by hypertension and proteinuria. The client’s blood pressure (130/78) is normal, and there are no signs of significant swelling or other symptoms commonly associated with preeclampsia.
E.   Preterm Premature Rupture of Membranes (PPROM)
PPROM is the rupture of the membranes (amniotic sac) before 37 weeks gestation, leading to the risk of infection, preterm labor, and other complications. While the client’s membranes are intact at this time, preterm labor at 33 weeks is a risk factor for PPROM.
F.   Seizures
Seizures in pregnancy are most commonly seen in conditions like eclampsia, which is a complication of preeclampsia. However, the client does not have the signs of preeclampsia (high blood pressure, proteinuria, edema) that typically lead to eclampsia.

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Correct Answer is A

Explanation

A. This statement is appropriate because it respects the client’s autonomy and acknowledges that the client has the right to withdraw consent at any time.
B. Telling the client their doctor wouldn't have ordered the treatment unless it was necessary can be dismissive of the client’s concerns and feelings.
C. While it’s important to acknowledge that nervousness or anxiety is a normal response, this statement does not directly address the client’s concern about not proceeding with the treatment.
D. Telling the client that most people feel better after the procedure may sound dismissive of the
client’s hesitation and doesn’t address their concerns directly.

A. "You will be given access to the medical records of every client in the facility." B. "You will be asked to change your password once per year. C. "Information Technology will install a firewall to secure client information." D. "Documentation of sensitive material is performed by the charge nurse."

Correct Answer is C

Explanation

A. The newly licensed nurse will only have access to the records necessary for their role and will not have access to all client records.
B. Passwords are typically changed more frequently than once a year for security reasons.
C. IT will ensure that the system is secure through firewalls and other measures to protect sensitive client information.
D. Sensitive material is documented by the appropriate personnel, not just the charge nurse.

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The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.

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Explanation

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Correct Answer is C

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The client is at risk for developing which of the following 2 complications?

Select 2 complications the client is at risk for developing.