A nurse is caring for a 68-year-old woman who has just returned to her room after a gastroscopy. Prior to beginning the procedure, lidocaine was given to numb her throat. Which of the following is the priority nursing intervention?

A) Check blood pressure and heart rate every 30 minutes for the next 12 hours.
B) Ask the patient if she needs to urinate.
C) Instruct the patient and family that she should not eat or drink for at least 1 hour.
D) Allow the patient to ambulate only with assistance.


C

Nursing

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A patient presents to the ED stating she was in a boating accident about 3 hours ago. Now the patient has complaints of headache, fatigue, and the feeling that he "just can't breathe enough."

The nurse notes that the patient is restless and tachycardic with an elevated blood pressure. This patient may be in the early stages of what respiratory problem? A) Pneumoconiosis B) Pleural effusion C) Acute respiratory failure D) Pneumonia

Nursing

A 62-year-old male patient has had chronic obstructive pulmonary disease (COPD) for many years but has been unable to quit smoking. When approached by the nurse, he states that he would be "better off dead."

He states that he has always supported his family, and now the doctor says he can no longer work because of his condition and oxygen dependency. His wife will now have to go to work, and he is sure that she will not make enough money to pay the bills. In preparing the patient for discharge, the nurse should a. Develop a plan of care for the family. b. Contact psychiatric services. c. Assure the patient that things will work out. d. Focus the plan of care on maximizing patient function.

Nursing

Research utilization begins with empirical findings for consideration in practice settings, while EBP begins with:

A) Integration of clinical judgments with research evidence B) A desire to abandon decisions based on custom and authority opinion C) A search for the best possible information for addressing a clinical problem D) A critique of existing practices

Nursing

The doctor ordered trochanter rolls for a patient. Trochanter rolls prevent:

a. Plantar flexion b. The hips and legs from external rotation c. Contractures of the thumb, fingers, and wrist d. The mattress from sagging

Nursing