Q.h
What will be an ideal response?
every hour
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The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery three hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak
The first action of the nurse is to: 1. Assist the client to empty her bladder. 2. Help the client back to bed to check her fundus. 3. Assess her blood pressure and pulse. 4. Begin an IV of lactated Ringer's solution.
A patient is admitted to the critical care unit with pneumocystis pneumonia. Which of the following will the nurse likely need to manage for this patient? Select all that apply
A) Intravenous (IV) trimethoprim and sulfamethoxazole (Bactrim, Septra) and corticosteroids B) Dialysis C) Bloodborne pathogen isolation D) Ultrasound
A nurse working in a long-term care facility is performing the admission assessment of a newly admitted, 85-year-old resident
During inspection of the resident's feet, the nurse notes that she appears to have early evidence of gangrene on one of her great toes. The nurse knows that gangrene in the elderly is often the first sign of what? A) Chronic venous insufficiency B) Raynaud's phenomenon C) VTE D) PAD
A patient who had a pancreaticojejunostomy 2 months ago is in the office for a routine post-surgical appointment. The patient states in frustration that he is concerned that the surgery was not successful because the pain is still present
The most appropriate initial response by the nurse is: A) "The majority of patients who have a pancreaticojejunostomy do not achieve pain relief, so we will increase your pain medication dosage." B) "Pain relief occurs by 6 months in more than 80% of the patients who undergo this procedure, and it has been only 2 months since your surgery." C) "You will likely now require the removal of your gallbladder to achieve pain relief." D) "You are probably not taking the medications appropriately for your pancreatitis and pain, so we will need to discuss your medication regimen in detail."