The nurse educator is presenting a lecture about risks to developmental progression. Which items will the educator include in the lecture?
1. Family support
2. Access to the Internet
3. Recent loss of employment
4. Terminal illness of a family member
5. Hazards within the home environment
Correct Answer: 3, 4, 5
Rationale: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.
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A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What action by the nurse is most appropriate?
a. Take the vital signs again in another hour. b. Document the findings in the patient's chart. c. Have another nurse recheck the vital signs. d. Plan to take the vital signs more often.
Following a myelogram the nurse should include in the postprocedure care assessment for:
a. elevation of blood pressure. b. urine retention. c. sensation in lower extremities. d. slurred speech.
A patient is having pain and has requested a dose of analgesic medication
The medication administration record indicates that he prescribed the narcotics hydromorphone (Dilaudid) intramuscularly and morphine sulfate intravenously. Where should the nurse first assess to determine which medication to administer? a. The patency of the IV site b. Which drug the patient prefers c. The patient's pain level d. Skin integrity of the dorsogluteal site
The nurse in the postanesthesia care area is concerned that a patient recovering from a subtotal thyroidectomy is experiencing postoperative complications. What finding led the nurse to come to this conclusion? Select all that apply.
A. Hoarse voice B. Heart rate 116 beats per minute C. Restlessness and irritability D. Blood pressure 92/56 mmHg E. High-pitched, squeaky sound with breathing