The patient with a subclavian line complains of shortness of breath after an infusion. The patient is diaphoretic and the blood pressure is 168/100, higher than a previous reading of 140/86. The nurse assesses these symptoms as an indication of:
1. fluid overload from too rapid an infusion.
2. incorrect dilution of the infused drug.
3. infection from faulty aseptic technique.
4. embolus from introduced air or blood clot.
4
Air can be introduced into the subclavian line from any of the ports that are left unclamped. The symptoms have occurred too quickly for an overload or infection.
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A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the nurse to suspect that the woman needs additional teaching?
A) "The warmth and buoyancy of the water has a nice relaxing effect." B) "I can stay in the bath for as long as I feel comfortable." C) "My cervix should be dilated more than 5 cm before I try using this method." D) "The temperature of the water should be at least 105° F."
A nurse prepares for an initial interview with a patient with suspected adult ADHD. Questions should be focused to elicit information about which problem?
a. Headaches b. Inattention c. Sexual impulses d. Trichotillomania
What intervention will the nurse request for a patient reporting gastrointestinal side ef-fects related to valproate therapy?
a. Mild laxative b. Low-fat diet c. Oral antacid d. Histamine-2 antagonist
Calculate his protein needs