More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is caring for a client who has postpartum hemorrhage and is receiving IV fluids and blood products.
Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
The nurse should monitor intake and output to assess the client’s fluid status and blood loss.
The nurse should elevate the head of the bed to reduce the risk of hypovolemic shock and improve tissue perfusion.
The nurse should apply oxygen via nasal cannula to increase oxygen delivery to the vital organs and prevent hypoxia.
Inserting a nasogastric tube is not indicated for a client who has postpartum hemorrhage. A nasogastric tube is used to decompress the stomach or administer medications or feedings in some conditions.
Administering pain medication as needed is not a priority intervention for a client who has postpartum hemorrhage. Pain medication can mask the signs of shock and lower the blood pressure further. The nurse should focus on restoring the blood volume and preventing complications.
The correct answer is choice A, B and C. The nurse should monitor intake and output to assess the client’s fluid status and blood loss.
The nurse should elevate the head of the bed to reduce the risk of hypovolemic shock and improve tissue perfusion.
The nurse should apply oxygen via nasal cannula to increase oxygen delivery to the vital organs and prevent hypoxia.
Choice D is wrong because inserting a nasogastric tube is not indicated for a client who has postpartum hemorrhage.
A nasogastric tube is used to decompress the stomach or administer medications or feedings in some conditions.
Choice E is wrong because administering pain medication as needed is not a priority intervention for a client who has postpartum hemorrhage.
Pain medication can mask the signs of shock and lower the blood pressure further.
The nurse should focus on restoring the blood volume and preventing complications.