Question:

The nurse is discharging a client who has been hospitalized for preterm labor. The client needs further instruction when she says: 

1. “If I think I have a bladder infection, I need to see my obstetrician.” 

2. “If I have contractions, I should contact my health care provider.” 

3. “Drinking water may help prevent early labor for me.” 

4. “If I travel on long trips, I need to get out of the car every 4 hours.”

Answer:4

Traveling is usually discouraged if preterm labor has been a problem as it restricts normal movement. A client should be able to walk around frequently to prevent blood clots and to empty her bladder at least every 1 to 2 hours. Bladder infections often stimulate preterm labor and to prevent them is of great importance to this client. Contractions that recur indicate the return of preterm labor and the health care provider needs to be notified. Dehydration is known to stimulate preterm labor and encouraging the client to drink adequate amounts of water helps to prevent this problem. 

CN: Reduction of risk potential; CL: Evaluate

翻译

问题：

护士正在为一个因早产住院的病人出院。当病人说什么表明她需要进一步的指导：

1.“如果我认为我有膀胱感染，我需要去看产科医生。”

2.“如果我有宫缩，我应该联系我的医疗保健提供者。”

3.“喝水可能有助于防止我早产。”

4.“如果我长途旅行，我需要每4小时下车一次。”

答案：4

如果早产已经成为一个问题，因为它限制了正常的行动，旅行通常是不鼓励的。病人应该能够经常走动，以防止血凝块，并至少每1至2小时排尿一次。膀胱感染通常会刺激早产，预防膀胱感染对这个病人非常重要。再次发生的宫缩表明早产复发，需要通知医疗保健提供者。脱水是众所周知的刺激早产，鼓励病人喝足量的水有助于防止这个问题。

CN：降低潜在风险；CL:评估

小编寄语：You are a landscape, there is no need to look up in the scenery of others.你就是一道风景，没必要在别人风景里面仰视。