A nurse is monitoring a client who had a cesarean delivery for signs of thromboembolism.
Which of the following findings should alert the nurse to this complication?
Shortness of breath and chest pain
Nausea and vomiting
Headache and blurred vision
Fever and chills.
The Correct Answer is A
The correct answer is choice A. Shortness of breath and chest pain are signs of pulmonary embolism (PE), which is a life-threatening complication of deep vein thrombosis (DVT). DVT is a type of blood clot that can occur in the legs or arms, especially during pregnancy and postpartum. PE happens when a blood clot breaks off and travels to the lungs, blocking blood flow.
Choice B is wrong because nausea and vomiting are not specific signs of thromboembolism.
They can be caused by many other conditions, such as morning sickness, food poisoning, or medication side effects.
Choice C is wrong because headache and blurred vision are not typical signs of thromboembolism.
They can be associated with other pregnancy complications, such as preeclampsia or eclampsia.
Choice D is wrong because fever and chills are not common signs of thromboembolism.
They can indicate an infection or inflammation, such as mastitis or endometritis.
Pregnant women have a higher risk of developing DVT and PE because of hormonal changes, increased blood clotting factors, reduced blood flow to the legs, and other factors. The risk is even higher after a cesarean delivery.
Therefore, it is important to know the signs and symptoms of thromboembolism and seek immediate medical attention if they occur. Thromboembolism can be prevented and treated with anticoagulant medications, compression stockings, and physical activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choiceD) Use of incentive spirometry.Incentive spirometry is a device that helps patients take slow, deep breaths to expand their lungs and prevent respiratory complications such as pneumonia and atelectasis.Incentive spirometry also helps clear mucus and fluids from the lungs and improves ventilation.
Choice A is wrong because controlling anxiety and agitation may not directly prevent respiratory complications, although it may help patients breathe more comfortably.
Choice B is wrong because adequate nutrition and fluids are important for general health and recovery, but they do not specifically prevent respiratory complications.
Choice C is wrong because adequate pain control may help patients breathe more deeply and cough more effectively, but it is not enough to prevent respiratory complications by itself.
Choice E is wrong because early ambulation may improve blood circulation and reduce the risk of thromboembolism, but it does not directly prevent respiratory complications.
Correct Answer is A
Explanation
The correct answer is choice A.“I will avoid lifting anything heavier than my baby for the next 6 weeks.” This statement indicates that the client understands the importance of limiting physical activity and protecting the incision site from strain or injury.Lifting heavy objects can increase the risk of bleeding, infection, or wound dehiscence.
Choice B is wrong because resuming regular exercise routine as soon as getting home is not advisable after a C-section.The client should gradually increase activity levels and avoid strenuous exercises until cleared by the healthcare provider.
Choice C is wrong because ibuprofen may not be sufficient for pain relief after a C-section.The client may need stronger pain medications prescribed by the healthcare provider and should follow the instructions on how to take them safely.
Choice D is wrong because removing the dressing from the incision site tomorrow is too soon.The client should keep the incision site clean and dry and follow the healthcare provider’s instructions on when and how to change the dressing.Removing the dressing too early can increase the risk of infection or wound dehiscence.
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