A patient is recovering from spinal anesthesia. During the immediate recovery period, the nurse notices an increase in pulse and respiration rates and disorientation and increasing agitation. What nursing assessment should be performed first?
A) Sensation of feet and legs
B) Whether a stir-up procedure has been performed
C) History of adverse reactions to medications
D) Current pulse oximetry value
D
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In order to focus on the older population with the greatest risk for suicide, the nurse would con-duct a depression screening that targets:
a. African American men. b. white men. c. white women. d. African American women.
The nurse is caring for a patient admitted to the medical-surgical unit with a filarial infestation
After administration of diethylcarbamazine (Hetrazan), the patient complains of a minor headache, weakness, dizziness, nausea, and vomiting. The nurse understands that the patient is displaying _________ and that the nurse should ______________________. a. an allergic reaction; administer diphenhydramine (Benadryl) b. toxicity; administer aspirin to alleviate body aches c. a flulike syndrome; administer acetaminophen (Tylenol) d. adverse effects; pretreat the patient with glucocorticoids before the next dose
The nurse has been explaining advance directives to a patient. Which response by the patient would indicate that he has correctly understood the information? "An advance directive is a document
a. Specifying your healthcare intentions should you become unable to make self-directed decisions" b. Identifying the activities considered to be evidence of quality care" c. Verifying your understanding of the risks and benefits associated with a procedure" d. Allowing you the autonomy to leave the hospital when you decide, even if it is against medical advice"
Which guideline should a nurse follow when administering medications at school?
a. A current drug reference should be available in case information is needed. b. The nurse should administer medications brought in from home by the child. c. Medications cannot be administered without a physician order. d. Narcotics and controlled substances should be kept in a locked cabinet.