A child has just returned from surgery after spinal-fusion ...

[kwoodring]

A child has just returned from surgery after spinal-fusion surgery. The nurse should check for signs of
 
  1. increased intracranial pressure.
  2. seizure activity.
  3. impaired pupillary response duringneurological checks.
  4. impaired color,sensitivity,andmovement to lower extremities.

Question 2

The nurse is admitting a client who was diagnosed with hydramnios. The client asks why she has developed this condition. The nurse should explain that hydramnios is sometimes associated with: (Select all that apply.) Select all that apply.
 
  1. Chest pain, dyspnea, tachycardia, and hypotension.
  2. Postmaturity syndrome.
  3. Renal malformation or dysfunction.
  4. Maternal diabetes.
  5. Large for gestational age infants.

[TheNamesImani]

Answer to Question 1

Answer:4
Rationale: When the spinal column is manipulated,there is a risk for impaired color,sensitivity,and movement to lower extremities. The other signs are neurological impairment and are not high risk with spinal surgery.

Answer to Question 2

1,2,4
Rationale 1: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10-20 of pregnant diabetics. Renal malformation or dysfunction and postmaturity can cause oligohydramnios. Large for gestational age infants and placenta previa are not associated with hydramnios.
Rationale 2: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10-20 of pregnant diabetics. Renal malformation or dysfunction and postmaturity can cause oligohydramnios. Large for gestational age infants and placenta previa are not associated with hydramnios.
Rationale 3: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10-20 of pregnant diabetics. Renal malformation or dysfunction and postmaturity can cause oligohydramnios. Large for gestational age infants and placenta previa are not associated with hydramnios.
Rationale 4: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10-20 of pregnant diabetics. Renal malformation or dysfunction and postmaturity can cause oligohydramnios. Large for gestational age infants and placenta previa are not associated with hydramnios.
Rationale 5: Chest pain, dyspnea, tachycardia, and hypotension are symptoms of amniotic embolism, which occurs more commonly with hydramnios. Hydramnios occurs in 10-20 of pregnant diabetics. Renal malformation or dysfunction and postmaturity can cause oligohydramnios. Large for gestational age infants and placenta previa are not associated with hydramnios.

[kwoodring]

Excellent

[epscape]

Gracias!