Answer to Question 1
1
Rationale 1: This client has HELLP syndrome, a life-threatening condition. Further orders are needed from the physician.
Rationale 2: Redrawing the labs is not the best action.
Rationale 3: The blood pressure is likely to be high, but notifying the physician of this life-threatening set of labs is a higher priority.
Rationale 4: Although blood type and Rh would need to be known after delivery to determine whether the client requires RhoGAM, this is not the highest priority.
Answer to Question 2
1, 2, 5
Explanation: 1. One expected outcome of nursing care is that the woman receives compassionate, respectful, and individualized medical attention.
2. One expected outcome of nursing care is that the woman has the information she needs to make a decision about her future based on thoughtful consideration of alternatives.
5. Two expected outcomes of nursing care are that the woman is able to identify culturally appropriate community resources available to her and develops strategies for keeping herself, her children, and her family as safe as possible.
NUrse
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Example of problem focused patient
Patient teaching - eye assessment
Instructing a Patient to Use Crutches Correctly
Patient Physical Status Classification