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NEW QUESTION: 1
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:
A. Decreased cardiac output related to excessive bleeding
B. Alteration in parenting related to potential fetal injury
C. Anxiety related to threat to self
D. Potential for fluid volume excess related to fluid resuscitation
Answer: A
Explanation:
(A) Based on the client's history, presence of bright red vaginal bleeding, and hemoglobin value on admission, the priority nursing diagnosis would be decreased cardiac output related to excessive bleeding. (B) This nursing diagnosis is a potential problem that does not exist at the present time, and therefore is not the priority problem. (C) The client's expressed anxiety is for her child. The fetus will remain physiologically safe if the decreased cardiac output is resolved. (D) Initial spontaneous bleeding with placenta previa is rarely life threatening to the mother or the fetus. Delivery of the fetus will be postponed until fetal maturity is achieved and survival is likely.
NEW QUESTION: 2
Your company has a network that has an Active Directory domain. The domain has two servers named
DC1 and DC2.
You plan to collect events from DC2 and transfer them to DC1. You configure the required subscriptions by
selecting the Normal option for the Event delivery optimization setting and by using the HTTP protocol.
You discover that none of the subscriptions work.
You need to ensure that the servers support the event collectors.
Which three actions should you perform? (Each correct answer presents part of the solution.Choose three.)
A. Run the wecutil qc command on DC1.
B. Run the winrm quickconfig command on DC1.
C. Run the winrm quickconfig command on DC2.
D. Run the wecutil qc command on DC2.
E. Add the DC1 account to the Administrators group on DC2.
F. Add the DC2 account to the Administrators group on DC1.
Answer: A,C,E
NEW QUESTION: 3
A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:
A. obtain an order for a stool softener.
B. administer packed RBCs, if ordered.
C. encourage the client to rinse her mouth with mouthwash and scrub her teeth with an oral sponge.
D. dress venipuncture sites immediately to prevent infection.
Answer: D
Explanation:
Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality. Septic shock is a systemic infection of the bloodstream producing clinical manifestations-warm, flushed skin; high urine output; tachycardia; edema; respiratory problems; restlessness; altered level of consciousness; life-threatening form of shock.Physiological Adaptation
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