Brooke Gentry, Patient is a 34 y/o G5P4 who gave birth to a…
Brooke Gentry, Patient is a 34 y/o G5P4 who gave birth to a 9lb. 3 oz male infant following a 12-hour elective oxytocin induction of labor. She had an uncomplicated labor, epidural anesthesia and a rapid second stage, no episiotomy or perineal lacerations. Indwelling urinary catheter was removed prior to delivery. She is now one hour postpartum and is breastfeeding her baby. An IV of 1000 mL Lactated Ringers is infusing at KVO rate with an infusion of Lactated Ringers with oxytocin 20 Units infusing IVPB at 125 mL/hour. Upon entering her room, she tells you that she “feels wet”, and may have urinated on herself since she is still numb from the epidural and unable to move legs. She is anxious, appears pale, and complains of feeling light-headed. Her husband is at her bedside. Assessment findings: Blood pooling under buttocks with several large clots; fundus boggy and slightly deviated to the right, 3 cm. above umbilicus; Vital signs: BP 90/60, P 110, R. 20, SAO2 98%, skin color pale, patient alert and oriented; unable to move legs, holding and breastfeeding baby. Following indwelling urinary catheter placement for Mrs. Gentry, and upon reassessment, bladder is non-distended, fundus is 1 cm. below the umbilicus, beginning to firm up with massage, but bleeding remains excessive with large clots continuing. Patient remains pale and is anxious. What interventions are appropriate for Mrs. Gentry at this time. (Select all that apply)
Read DetailsYou are the nurse in a busy ER and need to triage the follow…
You are the nurse in a busy ER and need to triage the following patients. Place them in the order you would take care of them, most emergent to least. Darius Lance: 24-year-old male flight attendant c/o low-grade fever of unknown origin and malaise for three days. No other symptoms. Jonathon Warren: 56-year-old male c/o severe chest pain arrives driving himself to ER from Law firm he owns. He is SOB, VS 96/50, pulse 108, irregular resp 32, diaphoretic, pale in color, and c/o of the worst pain he has ever felt in chest. Laura Martin: 13-year-old female c/o bruising and laceration on forehead from falling from tree in backyard. Alert, VS stable. Melba Bass: 66-year-old female, who comes into the ER c/o back pain for three months, states that she just wants us to find her a better orthopedic doctor and one who accepts her government-insurance plan
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