An obese patient with a history of smoking and hypertension underwent a coronary artery bypass graft for the treatment of coronary artery disease. During the patient's postoperative recovery, he developed a DVT
The development of this event was a result of the interaction between which of the following pathophysiological phenomena? Select all that apply.
A) Stasis of blood resulting from immobility and surgery
B) Injury to one or more of the patient's vessel walls
C) Cardiac stress resulting from surgery
D) Alterations in the normal process of coagulation
E) The presence of an inflammatory process
A, B, D
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The nurse is caring for a child with suspected ingestion of some type of poison. What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?
a. Empty the mouth of pills, plants, or other material. b. Question the victim and witness. c. Place the child in a side-lying position. d. Call poison control.
An elderly client signs a do-not-resuscitate statement in a living will then, during lunch, chokes on food and loses consciousness. The nurse has a responsibility to:
A) perform the Heimlich maneuver and call a code. B) call the doctor to get an order for resuscitation. C) call a code and perform the Heimlich maneuver. D) do nothing, since the client signed a DNR order.
To accurately assess the health of the mother during labor, a nurse should be aware that:
1. Her blood pressure will increase during contractions and fall back to prelabor normal in between. 2. Using the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia. 3. Having her point her toes will reduce leg cramps. 4. Her endogenous endorphins released during labor will raise her pain threshold and produce sedation.
A pregnant patient with other children reports for a first prenatal visit
She seems preoccupied and withdrawn, and makes negative remarks about the pregnancy. The patient's medical records reveal that she is taking a serotonin reuptake inhibitor. What should the nurse do? A) Reassure her that ambivalence is normal B) Refer her for drug and alcohol counseling C) Give her printed material to read at home D) Alert the primary care provider