Author Question: The nurse is concerned that a postpartum patient with a cervical laceration is developing ... (Read 89 times)

mckennatimberlake · **on:** Jun 27, 2018

The nurse is concerned that a postpartum patient with a cervical laceration is developing hypovolemic shock. What did the nurse assess in this patient?

A) Weak and rapid pulse
B) Warm and flushed skin
C) Elevated blood pressure
D) Decreased respiratory rate

Question 2

The nurse is reviewing orders written for a postpartum patient with a fourth-degree perineal laceration. Which order should the nurse question before implementing?

A) Providing a sitz bath
B) Administering an enema
C) Urging to drink all the milk provided during meals
D) Administering acetaminophen and codeine for pain

trog · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
If the loss of blood is extremely copious, a woman will quickly begin to exhibit symptoms of hypovolemic shock such as a weak and rapid pulse. The skin will be pale and clammy, and the blood pressure will fall. Respiratory rate will be increased and shallow.

Answer to Question 2

B
Feedback:
A fourth-degree perineal laceration involves the entire perineum, rectal sphincter, and some of the mucous membrane of the rectum. Any patient who has a fourth-degree laceration should not have an enema prescribed because the hard tips of equipment could open sutures near to or including those of the rectal sphincter.