Author Question: If a woman is at risk for thrombus and is not ready to ambulate, nurses might intervene by doing all ... (Read 71 times)

B · **on:** Jun 27, 2018

If a woman is at risk for thrombus and is not ready to ambulate, nurses might intervene by doing all of these interventions except:

a. Putting her in antiembolic stockings (TED hose) and/or sequential compression device (SCD) boots.
b. Having her flex, extend, and rotate her feet, ankles, and legs.
c. Having her sit in a chair.
d. Notifying the physician immediately if a positive Homans' sign occurs.

Question 2

A client is seen in the emergency department in shock. X-rays reveal protrusion of a portion of the fetus through the maternal abdomen. The nurse hypothesizes that the client has experienced which of the following?

a. Placenta previa c. Abruptio placentae
b. Uterine rupture d. Umbilical cord pro-lapse

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

Answer to Question 1

C

Feedback
A TED hose and SCD boots are recommended. Just sitting in a chair will not help.
B Bed exercises such as these are useful. Just sitting in a chair will not help.
C Sitting immobile in a chair will not help. Bed exercise and prophylactic footwear might.
D A positive Homans' sign (calf muscle pain or warmth, redness, or tenderness) requires the physician's immediate attention.

Answer to Question 2

B
Uterine rupture involves a separation of the uterine wall that may allow protrusion of fetal parts into the maternal abdomen. A longitudinal rupture, sometimes referred to as a classic rupture, occurs over the body of the uterus and is an acute emergent situation.