There has been serious hemorrhaging resulting in a client experiencing a fluid and electrolyte imbalance. The nurse should:
A. Initiate IV therapy
B. Order blood for transfusions
C. Remove and reapply any dressings
D. Monitor vital signs every 15 minutes
D
D. The nurse should monitor vital signs every 5 to 15 minutes (apical, distal rate, blood pressure).
A. IV therapy requires a provider's order.
B. Blood transfusions require a provider's order.
C. Reinforce dressing with tape as needed to prevent seepage. If dressing is saturated, replace only top layers so as not to disturb any clot formation at the wound site.
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Before involving the family in care of the dying patient, the nurse should:
a. ask the patient if he wants family care. b. ask family members if they want to assist with care. c. check the hospital policy on the family giving care. d. set a caring example.
A patient is brought to the ED by family members who tell the nurse that the patient has been exhibiting paranoid, agitated behavior. What should the nurse do when interacting with this patient?
A) Keep the patient in a confined space. B) Use therapeutic touch appropriately. C) Give the patient honest answers about likely treatment. D) Attempt to convince the patient that his or her fears are unfounded.
The need for forceps has been determined. The client's cervix is dilated to 10 cm, and the fetus is at +2 station. What category of forceps application would the nurse anticipate being used?
1. Input 2. Low 3. Mid 4. Outlet
Which patient statement would the nurse evaluate as reflecting the current trend in use of the emergency department? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "I had to wait for 3 hours to be seen for my head cold.". 2. "My dad had to stay in the ED overnight until a bed was available in the intensive care unit.". 3. "I wanted to go to an ED across town, but they aren't accepting any ambulance patients right now.". 4. "The lady in the office told me I should go somewhere else for care, but I am just too sick.". 5. "The waiting room is packed with people who are sneezing and coughing.".