Question

A nurse is caring for a client who is pregnant in the acute care setting. The nurse reviews the assessment data at 1800. Which of the following actions should the nurse plan to take?

1800:Client sleepy. Difficult to arouse. Respirations slow and shallow. Contraction pattern: contractions every 10 min, lasting 30 to 45 seconds, palpate mild in intensity.Fetal heart rate: 140 bpm, moderate variability, no accelerations present, no decelerations noted.

The nurse should first address the client's __________________________, followed by the client's __________________

Answer 1

The nurse should first address the client's sleepiness and difficulty to arouse, followed by the client's slow and shallow respirations.

Step-by-step explanation:

The nurse should first address the client's sleepiness and difficulty to arouse, followed by the client's slow and shallow respirations.

The client's sleepiness and difficulty to arouse may indicate a potential problem with oxygenation and should be addressed first. The nurse should assess the client's oxygen saturation levels and provide additional oxygen if necessary.

The client's slow and shallow respirations may indicate respiratory distress or compromised lung function. The nurse should monitor the client's respiratory rate, depth, and effort, and provide appropriate interventions such as respiratory support or positioning to optimize oxygenation.