List four observations about patients with diseases of the cardiovascular system that should be reported to the nurse.
What will be an ideal response?
· Change of color
· Pallor or cyanosis
· Redness
· Cool to touch
· Hot to touch
· Changes in pulse rate or rhythm
· Changes in blood pressure
· Edema
· Disorientation
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An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient
Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day. What should be the nurse's highest priority when planning care for this patient? a. Pain related to irritation of a stone b. Anxiety related to unclear outcome of condition c. Ineffective health maintenance related to lack of knowledge about prevention of stones d. Risk for injury related to disorientation
The nurse is caring for a patient on t-PA (tissue plasminogen activation) administration. The most common side effect of this infusion is:
A) Bleeding B) Hypertension C) Migraine headache D) Flaccid paralysis
When conducting a class on pain for a group of nursing students, the nurse teaches that which of the following is typical of chronic pain?
1. The pain rating may be inconsistent with underlying pathology. 2. There is usually a clear physiologic cause. 3. Pain typically lasts 6 months or less. 4. The pain reported is usually less severe than acute pain.
The nurse anticipates that parenteral nutrition will be used to meet the nutritional needs of:
1. a client with a nonfunctioning GI tract. 2. a client in a comatose state. 3. a client receiving radiation therapy to the neck. 4. a client with HIV-AIDS.