A client is admitted to the post-anesthesia care unit (PACU) following a left hip replacement. The initial nursing assessment findings are T 96.6 degrees F (35.9 degrees C), pulse 90, RR 14, and BP 128/80. The client only responds with moaning when spoken to. The nurse should first:
a) Administer sedation reversal agent such as flumazenil.
b) Observe the surgical dressing.
c) Position the client on the right side.
d) Remove the oral airway remaining from surgery.
Ans: c) Position the client on the right side.
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An 82-year-old woman was brought to the emergency department by her granddaughter. She is a widow and lives alone, although her granddaughter checks on her daily
She has been vomiting for 2 days and has not been able to eat or drink anything during this time. She has not urinated for 12 hours. Physical examination reveals the following: T = 99.6°F (37.6°C) orally; P = 110 beats/min, weak and thready; BP = 80/52 mm Hg. Her skin and mucous membranes are dry, and there is decreased skin turgor. The patient states that she feels very weak. The following are her laboratory results: Sodium 138 mEq/L Potassium 3.7 mEq/L Calcium 9.2 mg/dL Magnesium 1.8 mg/dL Chloride 99 mEq/L BUN 29 mg/dL The nurse recognizes that the patient is displaying symptoms associated with which of the following? a. Hypovolemia b. Hypervolemia c. Hypernatremia d. Hyponatremia
A nurse can best demonstrate respect for a patient's ethnic practices by
A) asking the patient to describe his or her ethnic practices. B) arranging the environment to accommodate his or her ethnic practices. C) completing an ethnic assessment. D) introducing the patient to another patient who has a similar ethnic background.
When reporting the identification of a communicable disease and need for investigation, which of the following should be notified first?
A) Centers for Disease Control and Prevention (CDC) B) State health department C) Local health department D) National Reported Disease list
Order: Dobutrex 250 mg in 250 mL lactated Ringer solution. The infusion pump is set at 12 mL/hr. How long will it take for the IV to infuse? _______________
a. 6 hr and 15 min b. 8 hr and 20 min c. 12 hr and 50 min d. 20 hr and 48 min