The nurse is caring for a client at 35 weeks' gestation who has been critically injured in a shooting. Which statement by the paramedics bringing the woman to the hospital should cause the greatest concern?
1. Blood pressure 110/68, pulse 90.
2. Clear fluid is leaking from the vagina.
3. Client is positioned in a left lateral tilt.
4. Entrance wound present below the umbilicus.
Question 2
Which situation in the high-risk antepartal unit requires immediate intervention?
1. Fetal monitoring is being performed on a client in her third trimester who is scheduled for a cholecystectomy tomorrow.
2. A third-trimester client pregnant with twins who required an appendectomy yesterday is positioned in a supine position.
3. Oxygen is being administered at 2 L via nasal cannula to a client in her third trimester who underwent a urolithotomy today.
4. The client in her third trimester who returned from bowel resection surgery has a nasogastric tube attached to intermittent suction.
A nurse shows empathy to a client.
Caring for a patient on isolation precautions cont'd
Measuring the client’s blood pressure
Positioning the client
Testing patellar reflex, client in a sitting position