How to Answer Nurse Caring Patient Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to nurse caring patient and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves nurse caring patient. A strong answer should include explanation, application, and examples.
Original Question
The nurse is caring for a patient on Labor and Delivery who is being induced for preeclampsia. Use the chart to answer the questions. The chart may update as the scenario progresses. CHART : HISTORY Obstetric history: Patient is a 17-year-old Hispanic female, G1P0, at 37.2. EDD is June 25, XX based on LMP. Late to prenatal care, first visit at 24.5 weeks, now consistent with scheduled appointments. Social history: Senior in high school. Smoker, reduced from one pack a day to less than half a pack when she realized she was pregnant. Denies alcohol and illicit drug use. Lives at home with parents who are supportive. Father of the baby uninvolved. Family history: Maternal history of DM, hypertension, preeclampsia. Father has no medical concerns. Physical assessment: Pre-pregnancy—height 5’8″, weight 138 lb, BMI 21. Weight at appointment 4 days ago 158 lb. Weight on hospital admit 169 lb. Fundal height 32 cm above umbilicus. NST is nonreactive, FHR baseline of 125 bpm. BPP score is 4/10, points deducted for nonreactive NST, fetal movement, and low amniotic fluid volume indicative of oligohydramnios. +3 pitting edema lower extremities, nonpitting edema upper extremities. Patient complaining of a headache ranking 6 on a scale from 1 to 10, and hip pain of 4 out of 10. No upper right quadrant pain or vision changes. DTRs +3, negative for clonus. Current medications: Prenatal vitamins, acetaminophen 650 mg prn, docusate sodium 50 mg prn Nursing Notes: 6/02/XX 0730 Patient has arrived on the labor and delivery unit for induction of labor due to preeclampsia. Patient ambulated to room, oriented to room, call bell, procedural timeline of care, and given hospital gown to change into. 0745 Patient in bed, placed on fetal monitors. Vital signs taken at this time. 0755 18-gauge IV placed in LFA (left forearm) with NS at 125 mL/hr, and 18-gauge INT placed in right hand. Blood drawn and sent to lab. Provider at the bedside discussing next steps with the patient and family, including Pitocin induction and a magnesium infusion to prevent seizure activity. Provider performs sterile vaginal exam, states patient is 1cm dilated, 60% effaced, and at -1 station. VITALS: 6/02/XX 0745 Temp 99.1°F (37.3°C) HR 68 beats/min; regular RR 16 breaths/min SpO2 98% on room air Blood pressure 147/92 mm Hg Pain 6 on 1-10 scale 0815 Temp 98.9°F (37.2°C) HR 73 beats/min; regular RR 20 breaths/min SpO2 98% on room air Question 3 of 6 Which orders given by the provider should the nurse question? Select all that apply. Strict Bedrest Pitocin starting dose 8 mU/min, increased by 2 mu/min every 30 minutes until contraction pattern is adequate .Magnesium sulfate loading dose 4 g in 100 mL of normal saline administered over 20 mins via pump. Magnesium sulfate continuous infusion 3 g/hr Magnesium serum level check 8 hours after the onset of treatment Assess and record vital signs every 2 hours, including DTR, clonus, lung sounds, and patient reported signs and symptoms Maintain strict I&O record Regular diet Calcium gluconate at bedside, administer 10 mEg IV over 10 minutes if serum magnesium levels are above 8 mg/dL, or patient is symptomatic of magnesium toxicity Neonatologist consult
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