Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Videos
Textbook Question
Chapter 28, Problem 2CCS
38-Year-Old Female with Preeclampsia
Ms. Johansen, 38, is 26 weeks pregnant with her first child. She was diagnosed with preeclampsia (see p. 1114) three weeks ago. Antihypertensive drugs (p. 724) and daily home care monitoring were initiated. However, her blood pressure is continuing to rise and is now 162/108 mm Hg. She complains of a constant headache, exhibits edema, and her urinalysis is positive for protein.
Her doctor has her admitted and orders further blood tests to assess Ms. Johansen's platelet level and liver function. "We may have to deliver because that’s the only cure for preeclampsia." she says to you during your clinical rotation in obstetrics. “But if we do, then the baby will have problems. It’s a tough decision because we have to balance both the mother's and the baby’s health.”
2. One of your fellow nurses says that preeclampsia is characterized by vasoconstriction. Does this make sense? Why or why not?
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
What would be the laxative of choice for a 1-year-old child? Why is this the best choice? What nursing considerations are necessary when using laxatives in children?
What are signs and symptoms potential sickle cell (vaso-occulsive) crisis.
Scenario Description: Juan Ferguson 50-year-old man with long-term emphysema who has become dyspneic and has been brought to the Emergency Department by paramedics and now is admitted to your floor for admission. He arrives alert and anxious, wheezing and still dyspneic. An IV has been started. Oxygen is started.
What is my client’s primary and possible secondary diagnosis?
What signs and symptoms would I expect to see with primary and secondary diagnosis?
What do I need to assess?
What is my top three priority assessments for this client? (Airway, breathing, circulation)
What is my focused assessment for this patient and any nursing interventions I may need?
What are the signs/symptoms that my client may exhibit if their condition is worsening? Give one or two reasons you would want to contact the healthcare provider?
Chapter 28 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 28 - Prob. 1RQCh. 28 - 2. Most systems are operational in the fetus by...Ch. 28 - Prob. 3RQCh. 28 - Match each adult structure in column B with the...Ch. 28 - Prob. 5RQCh. 28 - Prob. 6RQCh. 28 - Prob. 7RQCh. 28 - 11. The germ layer from which the epidermis and...Ch. 28 - Prob. 9RQCh. 28 - Prob. 10RQ
Ch. 28 - Prob. 14RQCh. 28 - Prob. 22RQCh. 28 - Prob. 15RQCh. 28 - Prob. 16RQCh. 28 - 19. The placenta is a marvelous, but temporary,...Ch. 28 - Prob. 17RQCh. 28 - 21. What is the function of gastrulation?
Ch. 28 - Prob. 11RQCh. 28 - Prob. 12RQCh. 28 - Prob. 19RQCh. 28 - Prob. 20RQCh. 28 - Prob. 13RQCh. 28 - Prob. 24RQCh. 28 - Prob. 25RQCh. 28 - Prob. 21RQCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - Prob. 3CCSCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...
Additional Science Textbook Solutions
Find more solutions based on key concepts
A student moving out of a dormitory crouches in correct fashion to lift a heavy box of books. What prime movers...
HUMAN ANATOMY
The appearance of glucose in the urine a. occurs normally. b. indicates the presence of kidney disease. c. occu...
Human Physiology
Why are mutants used as test organisms in the Ames test?
Laboratory Experiments in Microbiology (12th Edition) (What's New in Microbiology)
Single penny tossed 20 times and counting heads and tails: Probability (prediction): _______/20 heads ________/...
Laboratory Manual for Holes Human Anatomy & Physiology Fetal Pig Version
1. Genetics affects many aspects of our lives. Identify three ways genetics affects your life or the life of a ...
Genetic Analysis: An Integrated Approach (3rd Edition)
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- What are the clinical manifestations of iron toxicity in the pediatric patient? Identify possible treatment options.arrow_forwardwhat is the triage category (red, yellow, green, black) for a 26 year old patient that walks over to me, has obviously mangled arms and crying because of how painful it is, and has a respiration of 22/min, and has 124 radial pulse?arrow_forwardHow does an increase or decrease in intravascular volume influence HR Explain the pathophysiology related to the expected improvement of blood pressure and heart rate with the administration of IVF asap pleasearrow_forward
- For polycythemia, What nursing intervention can be utilized to overcome the challenges of bleeding caused from Treatment with aspirin and hematocrit control with phlebotomyarrow_forwardA nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…arrow_forward1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…arrow_forward
- 147. Which intervention should the RN implement for the client diagnosed with a pulmonary embolism who is receiving thrombolytic therapy?Avoid invasive procedures.Keep protamine sulfate readily available.Apply manual pressure for 5 minutes on puncture sites.Continue anticoagulant therapy during thrombolytic infusion.arrow_forwardBoth a father and a mother have thalassemia minor. Determine the probability that their child will have thalassemia major.arrow_forward41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchangearrow_forward
- Which of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoliarrow_forward(34) A 55 year old woman with a 30 year history of rheumatoid arthritis comes to the physician because of swallowing and pain in her left knee for 2 days. her temperature is 37.8 degrees celcius( 100 F). Physical examination shows a warm, swollen left knee with limited range of motion. Examination of aspirated fluid from the left knee shows turbid fluid, decreased glucose concentration, and increased concentrations of segmented neutrophils, protein , and interleukin-8(IL-8). Which of the following best describes the role of IL-8 in this patients knee condition. (A) Inhibition of neutrophil activation. (B) Initiation of apoptosis target cells. (C)…arrow_forward
arrow_back_ios
arrow_forward_ios
Recommended textbooks for you
Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
Surgical Tech For Surgical Tech Pos CareHealth & NutritionISBN:9781337648868Author:AssociationPublisher:Cengage
Microbiology for Surgical Technologists (MindTap ...BiologyISBN:9781111306663Author:Margaret Rodriguez, Paul PricePublisher:Cengage LearningBasic Clinical Lab Competencies for Respiratory C...NursingISBN:9781285244662Author:WhitePublisher:CengageCase Studies In Health Information ManagementBiologyISBN:9781337676908Author:SCHNERINGPublisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:9781337648868
Author:Association
Publisher:Cengage
Microbiology for Surgical Technologists (MindTap ...
Biology
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Cengage Learning
Basic Clinical Lab Competencies for Respiratory C...
Nursing
ISBN:9781285244662
Author:White
Publisher:Cengage
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
Drug Abuse, Causes, Signs and Symptoms, Diagnosis and Treatment.; Author: Medical Centric;https://www.youtube.com/watch?v=b6Dte96WdqM;License: Standard youtube license