Nursing Questions
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An unconscious client with a mean arterial pressure (MAP) below 60mmHg; temperature of 96° F (35.5° C) has skin which is cool and moist. During the primary assessment process, the MAP dropped another 10mmHg and appears to be not responding to the bolus IV infusion of NS. The nurse should anticipate the healthcare provider to prescribe what due to the client's response to the resuscitation efforts?Dobutamine to be initiated. Administration of dopamine. Infusion of sodium nitroprusside. Increased rate of the infusion of IV fluids.
Which assessment finding indicates that a client is in progressive (stage III) of shock?Eupnea. Active bowl sounds. Normal sinus rhythm. Cold, clammy skin.
A client has been diagnosed with an ankle sprain. The nurse should anticipate that the client will need which medication?Naproxen sodium. Hydrocortisone. Ciprofloxacin. Chloroquine.
What are the procedural steps the nurse should perform when assessing a client's carotid arteries?Ask client to hold breath for a few heartbeats, while auscultating for bruits. If difficult to assess, massage vigorously and palpate deeply into the skin folds of the neck. Help the client to a sitting position and inspect both sides of neck for arterial pulsations. Use the index and middle fingers to palpate around the medial edge of the sternocleidomastoid muscle. Palpate both arteries simultaneously, to make a comparison of the rate, rhythm, strength and elasticity.
The nurse is caring for an 8-year-old child who is recovering from major burn injuries sustained in a house fire. The client has become increasingly lethargic and difficult to awaken. The following vital signs were obtained: T 96°.2 F (35.7°C), BP 100/72, P 132, and RR 36. Which complication should the nurse suspect?Hypothermia. Early sepsis. Acute renal failure. Hypovolemia.
The nurse instructs a client diagnosed with a sexually transmitted disease (STD) to take sitz baths three to four times a day, increase fluid intake, and apply local anesthetic sprays. This self-care regimen is recommended for which type of sexually transmitted disease?Trichomonas vaginalis. Chlamydia. Candida. Genital herpes.
A client is admitted with coffee ground emesis. This symptom is indicative of which diagnosis?Lower GI bleed. Upper GI bleed. Appendicitis. Diverticulitis.
A middle-aged client who was admitted for a multi-traumatic accident is suspected of developing "Systemic Inflammatory Response" (SIRS). Which set of vital signs would the nurse anticipate the client to display?RR- 24 breaths/min; HR- 120 beats/minute; and temperature of 100.8??? F (38.2??? C). RR- 18 breaths/min; HR- 90 beats/minute; and temperature of 100??? F (37.2??? C). RR- 12 breaths/min; HR- 60 beats/minute; and temperature of 96.8??? F (3???6 C). RR- 36 breaths/min; HR- 86 beats/minute; and temperature of 97.4??? F (36.3??? C).
What actions should the nurse take when applying a fentanyl transdermal patch to a client?Apply the patch to a flat surface on the upper torso. Reapply the new patch to the same site as the previous patch. Remove any fentanyl patches that are still attached to the skin. Apply to clean, moist skin and cover with a bandage. If it is the first patch, obtain a short-acting analgesic prescription.
The emergency room nurse prepares for an influx of clients within 24-to-36 hours as a hurricane watch has just been issued for the surrounding area. Which characteristic of a disaster is the nurse using to prepare?Predictability. Imminence. Intensity. Scope.
The type of intervention that the nurse performs when he or she observes the spouse of a postoperative client performing the client's dressing change is described as
A nursing student asks his nursing professor how much time is required for studying to be successful in his nursing classes. The nursing professor provides the student with this general rule of studying time
A nurse is caring for a client with diabetes mellitus. The client takes insulin 2 times per day. The nurse makes sure the client's meals arrive in coordination with the insulin's effect. The knowledge used by the nurse is:
A nurse is concerned about the requirements needed to complete all of her courses successfully. Which of the following factors would assist her to be successful?