nursing priority

NCLEX Exam Practice Question of the Week - 5/20/15

Question: Shortly after an amniotomy, the nurse determines that the fetal heart rate has decreased from 140 to 80 beats per minute. What is the priority nursing action?

1. Inspect the vagina

2. Administer oxygen

3. Notify the practitioner

4. Place in the knee-chest position

Keep reading

Me: My priorities are the most important me.
Me: -trying to figure out how to cuddle Midnight, Mr.Bear and Mrs.Princess Twilight Sparkle all at the same time-
Me: One will be sad if I leave one out.

I am an adult. I swear/

And that’s how being in the child’s hospital has changed me, numerous ways. That and I’ve learned to sleep on my back now.
 Hasbro’s nurses are so much caring than the adult hospital. I was sick, dying inside and i never got seen in the adult one. My respect for the nurses putting up with me, even when I was upset. They’re okay with me going back there for surgery.

2

Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)

Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis)