K.L. arrives on your unit. As you help him transfer from the ED stretcher to the bed, K.L. becomes very
dyspneic and expels 800 mL of maroon stool.
What immediate complication concerns you most?
What will be an ideal response?
K.L. is at risk for experiencing hypovolemic shock secondary to hemorrhage.
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When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?
1. Primary prevention level of care 2. Secondary prevention level of care 3. Tertiary prevention level of care 4. Case management level of care
A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike
What complication does the nurse determine may be occurring at this time? A) Constipation B) Paralytic ileus C) Peritonitis D) Accumulation of gas
A patient who is severely anemic also has
acute heart failure with severe edema due to fluid overload. The prescriber wants to raise the patient's hemoglobin and hematocrit levels. The nurse anticipates that the patient will receive which blood product? a. Fresh frozen plasma b. Albumin c. Packed red blood cells (PRBCs) d. Whole blood
Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviors?
a. Disobedience b. Hyperactivity c. Impulsivity d. Anxiety