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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Free Nursing Study Resources

Correct Answer is ["255"]

Explanation

To calculate:

4,080 mL ÷ 2 = 2,040 mL

2,040 mL ÷ 8 hours = 255 mL/hr.

Thus, the nurse should set the IV infusion pump to deliver 255 mL/hr.

A. "Let's talk about how you can change your response to stress." B. "We should establish our roles in the initial session." C. "Let me show you simple relaxation exercises to manage stress." D. "We should discuss resources to implement in your daily life."

Correct Answer is B

Explanation

A. Discussing stress management strategies such as relaxation exercises is more appropriate in later stages of the relationship, once trust is established.
B. Establishing roles in the initial session is key to a successful therapeutic relationship. The client and
nurse should understand each other’s roles and expectations to foster clear communication and trust.
C. Teaching relaxation exercises may be helpful, but it should come after setting the groundwork for a trusting relationship in the orientation phase.
D. Discussing resources can be beneficial, but it is premature in the orientation phase before the therapeutic relationship is solidified.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["255"]

Explanation

A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?

Correct Answer is B

Explanation

For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.

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