Author Question: A client is admitted at 18 weeks' gestation with a probable diagnosis of hydatidiform mole. Her ... (Read 59 times)

segrsyd · **on:** Jul 22, 2018

A client is admitted at 18 weeks' gestation with a probable diagnosis of hydatidiform mole.

Her signs and symptoms include high-serum human chorionic gonadotropin (HCG) levels, pregnancy-induced hypertension (PIH), uterine enlargement greater than expected for the estimated gestational period, and vaginal bleeding. For the client's nursing diagnosis of Fear related to the possible development of choriocarcinoma, which of these nursing interventions is appropriate? a. Allow the client to express her feelings, and refer her to support sources.
b. Educate the client regarding the need for weekly blood tests for HCG levels.
c. Explain the need for follow-up physical examinations and chest X-rays.
d. Stress the importance of delaying another pregnancy.

Question 2

Which of these statements about oxygen therapy for a client is TRUE?

a. The client is started on the highest dose possible, and dose is reduced as the client improves.
b. Oxygen is a medication, requiring medication administration criteria as well as oxygen therapy administration criteria.
c. The prescription for oxygen therapy is determined by the respiratory therapist in consultation with the client's health care provider.
d. Oxygen therapy can be initiated by a nurse in any emergency situation.

diesoon · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Hydatidiform mole is an abnormality of the placenta. The chorionic villi become grapelike clusters. There is no viable embryo, but HCG levels are elevated. Classic signs are brownish-colored bleeding, increased uterine enlargement, absence of fetal heart tones, and passing of grapelike clusters. The client must be followed for 1 to 2 years and be tested for serial HCG levels. There is a risk of developing choriocarcinoma, so the client must be frequently evaluated and allow the client to express her feelings, and refer her to support sources.

Answer to Question 2

B
Oxygen is a medication ordered by the physician or qualified practitioner, requiring medication administration criteria as well as oxygen therapy administration criteria.