The nurse cares for a patient who had an angiogram of the aorta with a contrast medium approximately 4 hours ago. Which is the priority patient assessment for the nurse to monitor for early detection of an allergic reaction to the dye?
a. Pallor
b. Pruritus
c. Tachycardia
d. Cool skin
C
The nurse monitors the patient's respiratory and cardiac status for any indication of a hypersensi-tivity reaction to the dye. Other clinical indicators include flushing, itching, and urticaria. Pallor is usually an indicator of altered cardiovascular status. Pruritus and cool skin may be an indica-tion of allergic reactions; however, they are not as high on the patient's hierarchy of needs as breathing.
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When might it be inappropriate for the nurse to assess a client's vital signs?
1. When a client has a change in health status 2. Upon admitting the client to the facility 3. Before and after the client ambulates 4. When a terminal client with a do-not-resuscitate order has a change in condition
The primary purpose for placing an immobile client's arms across his or her chest when preparing to transfer the client up in the bed is to:
1. Increase the stability of the client's body 2. Protect the client's arms from being hurt during the transfer 3. Produce a more compact form that facilitates the transfer 4. Reduce the amount of body surface area that is in contact with the bed.
Looking at health care throughout the United States, approximately what proportion of health care funds is dedicated to public health services?
a. Less than 5% b. Between 6% and 10% c. Between 11% and 15% d. Between 16% and 20% e. Over 21%
The patient is noted to have difficulty swallowing. The nurse realizes that the most probable cause of this difficulty is damage to cranial nerve ______
Fill in the blank(s) with correct word