Blog

What can be the result when a cardiac defect allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side?  

Your postpartum patient has been moved to the postpartum unit and after being there for an hour, calls out for the nurse complaining she has just felt a large gush. You find that she is lying in a pool of vaginal blood with heavy bleeding and clots.  After you immediately assess the fundus, you find it deviated right. You massage the fundus and call for help, what is the next priority action?

You are expecting a patient to be admitted with a gastric outlet obstruction as a result of an ulcer in the antrum. What orders would you expect from the admitting doctor? (Select all that apply.)

A patient with prolonged prelabor rupture of membranes has fluid that is greenish-yellow in color and foul smelling. Which initial nursing intervention is most appropriate?

Mrs. Quinn is admitted with acute pancreatitis and is experiencing respiratory alkalosis. Which clinical manifestation would be consistent with this acid-base imbalance? Arterial Blood Gas (ABG) results: pH 7.49, PaCO2 29 mmHg, HCO3 24 mEq/L, PaO2 85 mmHg. Select all that apply. 

A patient’s ABG results are as follows: pH 7.50, PaCO2 30 mmHg, HCO3 24 mEq/L. Which acid-base imbalance is present, and is there compensation?

A patient’s Arterial Blood Gas (ABG) results are as follows: pH 7.35, PaCO2 50 mmHg, HCO3 28 mEq/L. Which acid-base imbalance is present, and is there compensation?

The nurse is providing care to an infant with a congenital heart defect (VSD) who wishes to reduce the cardiac demand of the infant’s heart. Which is the most appropriate measure to incorporate in the client’s care plan?

You have a patient that comes into triage with strong contractions. Ms. L.M. is a 32-year-old G2P1 at 39.5 weeks gestation. Her previous delivery was a spontaneous vaginal delivery where she had a 3rd-degree laceration.  She is breathing heavily and appearing very uncomfortable with contractions coming every 2-3 minutes lasting 60-90 seconds.  Upon palpation, you feel the contractions are moderate to strong in strength. She is asking for an epidural and is checked. Her SVE is 7/100/-1. What stage of labor is L.M. in? [stageoflabor] What phase of labor is L.M. in? [phaseoflabor] What does the 7/100/-1 represent [SVE]?

Match the placental problems with the correct definitions