A nurse is caring for a patient who is receiving morphine via a patient controlled analgesia (PCA) pump. When assessing the patient, she notes that his respiratory rate is 4. What should the nurse do first?
A) Notify the physician
B) Stop the PCA pump
C) Administer naloxone
D) Increase the primary IV rate
Ans: B
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Which of the following V/Q ratios would most suggest intrapulmonary shunting?
a. 0.8 c. 0.4 b. 2.2 d. V/Q ratios are not related to shunting.
The nurse is providing care to a client who was recently diagnosed with breast cancer. The nurse is providing education regarding the possible treatment options. Which options will the nurse include in the teaching session?
Select all that apply. A) Mastectomy B) Hormone therapy C) Lumpectomy D) Palliative care E) Radiation
The nurse is preparing to administer eardrops to a 6-year-old. Which of the following nursing actions is correct?
A) Put the eardrops in the refrigerator for 10 minutes prior to administration. B) Pull the earlobe down and back to straighten the ear canal. C) Press gently on the tragus of the ear a few times after administration. D) Insert the tip of the applicator into the ear canal.
A client receives several tube feedings each day. After documenting the client's tolerance of the feedings and assessments in the medical record, the nurse should also document the amount of feeding provided on the:
1. Graphic sheet. 2. Dietary consultation notes. 3. Vital signs record. 4. Intake and output record.