The nurse is assessing a pt with acute cholecystitis whose abdominal pain is severe. The pt has a HR of 118, is pale, diaphoretic, and describes extreme fatigue. What is the nurse's priority action at this time?
a. Instruct the UAP to check a complete set of VS
b. Auscultate the pt's abdomen in all four quadrants
c. Notify the pt's HCP
d. Administer the ordered opioid analgesic
Answer: c. Notify the pt's HCP
You might also like to view...
The nurse is planning care for a patient with a personality disorder. Which interventions is the nurse likely to consider including in the plan of care? Select all that apply
1. Patient teaching about vegetative symptoms 2. Limit setting to enforce boundaries 3. Patient teaching about healthy coping skills 4. Discussing the importance of memory prompts 5. Strengthening reality orientation
A patient with dilated cardiomyopathy has been placed on the transplant list due to the severity of her symptoms and her poor prognosis
While waiting for a donor heart, which of the following interventions carries the greatest potential for reducing the workload on the patient's heart? A) Bioprosthetic valve replacement B) A ventricular assist device (VAD) C) Percutaneous aortic balloon valvuloplasty D) Angioplasty
In planning teaching and ongoing care for a new diabetic client, the clinic nurse should base the plan around concepts such as (Select all that apply)
a. continual assessment of client knowledge and skill level. b. empowering the client to become the expert in his/her care. c. liberal use of referrals depending on client need. d. the nurse being the expert in diabetes care. e. using a multidisciplinary approach.
Parenteral drugs can be administered by four routes: ________, ________, ________, and ________.
What will be an ideal response?