A female patient has just undergone a percutaneous coronary intervention (PCI). What symptom, if found by the nurse, requires immediate intervention?
A) Three premature ventricular complexes
B) Frank bleeding from the femoral insertion site
C) Serum potassium level 4.8 mEq/L
D) Hemoglobin 11.7 g/dL
B
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A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, "I am anxious about having an ileal conduit. What is it like to have this drainage tube?" How should the nurse respond?
a. "I will ask the provider to prescribe you an antianxiety medication." b. "Would you like to discuss the procedure with your doctor once more?" c. "I think it would be nice to not have to worry about finding a bathroom." d. "Would you like to speak with someone who has an ileal conduit?"
A patient has been taking the selective
serotonin reuptake inhibitor (SSRI) sertraline (Zoloft) for about 6 months. At a recent visit, she tells the nurse that she has been interested in herbal therapies and wants to start taking St. John's wort. Which response by the nurse is appropriate? a. "That should be no problem." b. "Good idea! Hopefully you'll be able to stop taking the Zoloft." c. "Be sure to stop taking the herb if you notice a change in side effects." d. "Taking St. John's wort with Zoloft may cause severe interactions and is not recommended."
Breathing is partially under voluntary control
Indicate whether the statement is true or false
The nurse is assisting with a client undergoing a sequential organ failure assessment (SOFA). Which systems will the nurse anticipate being included in the assessment? Select all that apply.
A) Respiratory B) Gastrointestinal C) Integumentary D) Neurological E) Cardiovascular