The nurse is caring for a patient who is experiencing cardiogenic shock as a result of myocardial infarction. Which of the following assessments would concern the nurse the most?
1. Pao2 60 mm/hg
2. blood pressure 100/56 mm Hg
3. urine output 260 cc/8 hrs
4. heart rate 96
1
Rationale: A PaO2 of 60 is below the normal of 80 to 100 mm Hg. The patient experiencing cardiogenic shock will exhibit hypotension and tachycardia and therefore a blood pressure of 100/56 mm Hg and heart rate of 96 would not apply. A urine output of 260 cc/8 hrs is borderline but not reportable without a continued trending pattern.
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A newly licensed nurse is preparing to administer a psychotropic medication to an elderly client. The nurse questions the preceptor regarding adverse effects of these medications. Which is the most appropriate statement from the preceptor?
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A nurse is caring for a 5-year-old girl with depression. She is having difficulty coping with her feelings of sadness and fear, which stem from her parents' recent divorce
The girl has been prescribed antidepressant medication, but the mother thinks the girl would benefit from therapy. The nurse refers the mother to a therapist who specializes in which of the following types of therapy? A) Individual therapy B) Play therapy C) Behavioral therapy D) Hypnosis