A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is restless and the pulse rate is increased. As the nurse continues the assessment, the client begins to vomit a copious amount of bright-red blood. The nurse should take which immediate action?
A. Notify the surgeon
B. Continue the assessment
C. Check the client's blood pressure
D. Obtain a flashlight, gauze, and a curved hemostat
Ans: A. Notify the surgeon
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When a 68-year-old client with a new full-leg cast exhibits bilateral pedal edema, the nurse would assess for
a. compartment syndrome. b. cardiovascular disease. c. local leg trauma. d. thrombophlebitis.
The nurse is assessing a client's susceptibility to rejecting a transplanted kidney. Which result does the nurse recognize as increasing the client's chances of rejection?
a. Decreased T-lymphocyte helper b. Decreased white blood cell count c. Increased cytotoxic-cytolytic T cell d. Increased neutrophil count
The nurse is caring for a 2-year-old child in the postoperative period. The pain-assessment tool most appropriate for assessment of pain intensity in a 2-year-old is the
1. FLACC Behavioral Pain AssessmentScale. 2. faces pain scale. 3. Oucher scale. 4. poker-chip tool.
Which pathway carries sensory information toward the central nervous system (CNS)?
a. Ascending b. Descending c. Somatic d. Efferent