Author Question: The nurse has successfully completed a client's sexual and gynecologic history. Which of the ... (Read 60 times)

pragya sharda · **on:** Jun 27, 2018

The nurse has successfully completed a client's sexual and gynecologic history. Which of the following questions is the nurse most likely to have included?

A. When was the last time you had intercourse?
B. Have you ever had any type of surgery?
C. Have you had any elective abortions?
D. Have you had a sexually-transmitted infection?

Question 2

When planning care for the premature newborn diagnosed with respiratory distress syndrome, which potential complications would the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Hypoxia
2. Respiratory alkalosis
3. Metabolic acidosis
4. Massive atelectasis
5. Pulmonary edema

Tonny · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Answer to Question 2

1, 3, 4, 5
Explanation: 1. The physiologic alterations of RDS can produce hypoxia as a complication. As a result of hypoxia, the pulmonary vasculature constricts, pulmonary vascular resistance increases, and pulmonary blood flow is reduced.
3. The physiologic alterations of RDS can produce metabolic acidosis as a complication. Because cells lack oxygen, the newborn begins an anaerobic pathway of metabolism, with an increase in lactate levels and a resulting base deficit.
4. The physiologic alterations of RDS can produce massive atelectasis as a complication. Upon expiration, the instability increases the atelectasis, which causes hypoxia and acidosis because of the lack of gas exchange.
5. The physiologic alterations of RDS can produce pulmonary edema as a complication. Opacification of the lungs on X-ray image may be due to massive atelectasis, diffuse alveolar infiltrate, or pulmonary edema.