While assessing the client at risk for shock, a nurse finds the client's systolic blood pressure to be 20 mm Hg lower than baseline. What is the nurse's best first action?

A. Increase the IV rate.
B. Administer oxygen.
C. Notify the physician.
D. Document the finding as the only action.


B
Administration of oxygen for any type of shock is appropriate to help reduce potential damage from tissue hypoxia.

Nursing

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The most effective method of controlling extraneous variables is by:

A) Analysis of covariance B) Matching C) Randomization D) Homogeneity

Nursing

A client complains to the nurse that her daughter often shivers after she comes out of a swimming pool. Based on this information, the nurse recognizes that the client needs further teaching about the mechanisms of shivering

What should the nurse's response be? A) "This could be serious; you should consult a physician immediately." B) "This is an expected response; shivering is a body mechanism that assists temporary regulation." C) "This may be risky; your daughter should avoid swimming completely." D) "Your daughter should have a hot water bath as soon as she comes out of the pool."

Nursing

The nurse recognizes that there needs to be a change in practice on the unit to improve the client outcomes. Which is the quickest method the nurse should consider to change current practice?

A. Literature review. B. Quality improvement project. C. Document patient outcomes. D. Research.

Nursing

Keep your patients' best interests in mind by thinking and acting like a family member or friend.

Answer the following statement true (T) or false (F)

Nursing