A pregnant patient complains to the clinic nurse that her ...

[lidoalex]

A pregnant patient complains to the clinic nurse that her varicose veins are causing more discomfort than before. The nurse teaches the patient to: Note: Credit will be given only if all correct and no incorrec choices are selected.
 
  Select all that apply. 1. Increase the time she stands.
  2. Walk on a daily basis.
  3. Not cross her legs at the knees.
  4. Wear support hose.
  5. Hyperextend her knee with her feet up.

Question 2

A patient was admitted to the labor area at 5 cm with ruptured membranes about 14 hours ago. The assessment data that would be most beneficial is:
 
  1. Blood pressure.
  2. Temperature.
  3. Pulse.
  4. Respiration.

[nothere]

Answer to Question 1

2,3,4
Rationale 1: The patient should be advised to sit more, not to stand.
Rationale 2: Walking on a daily basis will increase the venous circulation.
Rationale 3: Crossing her legs at the knees will restrict venous return to the heart.
Rationale 4: Support hose can help increase the venous return to the heart.
Rationale 5: Hyperextending the knee is not recommended; the entire leg should be supported when elevated.

Answer to Question 2

2
Rationale 1: Blood pressure can assist in the diagnosis of infection, but is not the primary vital sign.
Rationale 2: Rupture of membranes for 14 hours places the mother at risk for infection. The temperature is the primary and often the first indication of a problem.
Rationale 3: Pulse can assist in the diagnosis of infection, but is not the primary vital sign.
Rationale 4: Respirations can assist in diagnosis of infection, but are not the primary sign.

[lidoalex]

TYSM

[robbielu01]

Excellent