Author Question: A pregnant patient at 30 weeks' gestation has had a steady rise in blood pressure. She is now 20 ... (Read 81 times)

Evvie72 · **on:** Jun 27, 2018

A pregnant patient at 30 weeks' gestation has had a steady rise in blood pressure. She is now 20 mmHg above her systolic baseline.

The nurse advises her to immediately report: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Dizziness.
2. Even a small amount of dependent edema.
3. Spots before her eyes.
4. Persistent nausea and vomiting.
5. Vaginal spotting.

Question 2

A child is being treated for dehydration with intravenous fluids.

The child currently weighs 13 kg and is estimated to have lost 7 percent of his normal body weight. The nurse is double-checking the IV rate the physician has ordered. The formula the physician used was for maintenance fluids:1000 mL for 10 kg of body weight plus 50 cc for every kg over 10 for 24 hours.Replacement fluid is the percentage of lost body
weight 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid,this child's hourly IV rate for 24 hours should be (Write your answer below.)
What will be an ideal response?

CharlieArnold · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,3
Rationale 1: Dizziness can be a sign of hypertension or preeclampsia, and should be reported immediately.
Rationale 2: A small amount of dependent edema is expected, especially in the last weeks of pregnancy.
Rationale 3: Spots before the eyes can be a sign of hypertension or preeclampsia, and should be reported immediately.
Rationale 4: Persistent nausea and vomiting would occur early in the pregnancy.
Rationale 5: Vaginal spotting is a danger sign, but it is not related to the increased blood pressure.

Answer to Question 2

Answer:86
Rationale:Maintenance need for 13 kg is 1000 (50 3),or 1150 mL/24 hours. Add to this the replacement-fluid loss 7 (percent of total body weight lost) 10 70 mL/kg/24 hours (70 13 910).1150 910 2060 for 24 hours.2060/24 86 cc per hour.