Author Question: The postpartum patient has developed thrombophlebitis in her right leg. Which finding requires ... (Read 48 times)

Ebrown · **on:** Jun 28, 2018

The postpartum patient has developed thrombophlebitis in her right leg. Which finding requires immediate intervention? The patient:

1. The postpartum patient has developed thrombophlebitis in her right leg. Which finding requires immediate intervention? The patient:
2. Develops pain and swelling in her left lower leg.
3. Appears anxious, and describes pressure in her chest.
4. Becomes upset that she can't go home yet.

Question 2

The nurse is revising the care plan of a 26-year-old woman who has developed mastitis. Which nursing diagnosis is most appropriate for inclusion in this patient's updated plan of care?

1. Ineffective Peripheral Tissue Perfusion related to obstructed venous return
2. Risk for Trauma related to lack of information about appropriate breastfeeding practices.
3. Deficient Knowledge related to self-care after discharge on anticoagulant therapy
4. Acute Pain related to tissue hypoxia and edema secondary to vascular obstruction

jaymee143 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: This is a risk factor for the development of thrombophlebitis, but neither a predictor nor an indication of complications.
Rationale 2: Development of bilateral thrombophlebitis is a complication, but not the top priority.
Rationale 3: Anxiety and sudden onset of chest pain or pressure might indicate pulmonary embolus, which is a life-threatening complication of thrombophlebitis. This is the most abnormal finding, and requires immediate intervention.
Rationale 4: Although the nurse provides patient care with the aim of keeping patients satisfied and comfortable, becoming upset is a psychosocial issue, and far less important than development of a pulmonary embolus.

Answer to Question 2

Correct Answer: 2
Rationale: In relation to the patient's mastitis, the most appropriate nursing diagnosis is Risk for Trauma related to lack of information about appropriate breastfeeding practices.