Clinical Questions Essay example

627 Words Mar 6th, 2013 3 Pages
1. Why would there be cause for concern if a young pregnant mother is Rh-, her husband is Rh+, and this is their second child? (pg 655)

RhoGAM prevents the mother from sensitizing herself against her child. If the second child is RH+ and she did not take RhoGAM, there is a chance the mother will be sensitive to the second child and the child is at a risk of develop erythroblastosis fetalis and die before birth.

2. A patient complains of no energy, a chronic sore throat, a low-grade fever, and is tired and achy. His doctor notes an enlarged spleen upon examination. What diagnosis would you expect and what definitive test would you request? (pg 657)

The person may have a possible infectious mononucleosis. We use a
…show more content…
He complains of increasing shortness of breath on exertion and needing to sleep on three pillows at night. On physical assessment, the nurse determines that his ankles and feet are very swollen. Which of these symptoms reflect left-sided heart failure and which reflect right-sided heart failure? (page 687)
Because the heart is a double pump, each side can initially fail independently of the other. If the left side fails, pulmonary congestion occurs. The right side of the heart continues to propel blood to the lungs, but the left side does not adequately eject the returning blood into the systemic circulation. Thus, blood vessels in the lungs become engorged with blood, pressure within them increases, and fluid leaks from the circulation into the lung tissue, causing pulmonary edema. Causing shortness of breath and difficulty breathing in a prone position.

6. A woman in her early 50s appeared at a walk-in clinic, complaining of aching pain in her right leg following a fall. Visual examination revealed that the medial aspect of that leg was red and swollen. A diagnosis of phlebitis was made. What is phlebitis, and what more serious condition may result if proper healing does not occur? (page 748)

Phlebitis is an inflammation of a vein accompanied by painful throbbing and redness of the skin over the inflamed vessel. Thrombophlebitis (clot formation) can result if proper healing does not occur. The danger in thrombophlebitis is the

Related Documents