Which action does the nurse take first if a patient has a suspected aneurysm rupture?
a. Start an IV infusion with a large-bore needle.
b. Assess baseline measurements of blood pressure and pulse rate.
c. Palpate the pulsating abdominal mass to determine its size.
d. Assess all peripheral pulses to use as a baseline for comparison.
Answer: a. Start an IV infusion with a large-bore needle.
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A critically ill patient tells the nurse that he is not afraid to die because he believes in reincarnation. What is the most appropriate nursing response?
A) "What if reincarnation is not real?" B) "This belief gives you strength." C) "I don't believe in reincarnation." D) "You shouldn't base your hopes on such a belief."
A client is prescribed clonidine as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the patch should remain in place for how long?
A) 24 hours B) 3 days C) 7 days D) 2 weeks
When assessing a patient asking about birth control, the nurse knows that the patient would not be a good candidate for Depo-Provera (DMPA) if she:
1. Wishes to get pregnant within 3 months. 2. Is a nursing mother. 3. Has a vaginal prolapse. 4. Weighs 200 pounds.
A client tells his nurse that he has difficulty hearing related to working in a loud factory setting for 15 years. What is the term for this condition?
A) Sensory deficit B) Sensory deprivation C) Sensory overload D) Sensory stimulation