The nurse is caring for a patient who had a hysteroscopic surgery. The patient reports severe lower abdominal pain, she appears pale, and has trouble focusing on the nurses questions about pain. Vital signs show: T 98.6 F, P 120/min, R 24/min, BP 103/60. Which complication does the nurse suspect?
a. Hemorrhage
b. Embolism
c. Fluid overload
d. Incomplete suppression of menstruation
Answer: a. Hemorrhage
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The statement by a nurse caring for a client with an eating disorder that signals a need for
supervision is a. "I am working to encourage the client to be healthier.". b. "I understand that the client is terrified of gaining weight.". c. "The client's perfectionism and resistance often make me angry.". d. "I have had to make sure I do not come across as a parent figure.".
An 81-year-old patient who has been in the intensive care unit (ICU) for a week is now stable and transfer to the progressive care unit is planned. On rounds, the nurse notices that the patient has new onset confusion. The nurse will plan to
a. give PRN lorazepam (Ativan) and cancel the transfer. b. inform the receiving nurse and then transfer the patient. c. notify the health care provider and postpone the transfer. d. obtain an order for restraints as needed and transfer the patient.
Which of the following laboratory results would the nurse most likely find reported on a child who has juvenile rheumatoid arthritis?
a. increased erythrocyte sedimentation rate (ESR) b. decreased C-reactive protein c. decreased white blood cell count (WBC) d. increased hemoglobin
The nurse is completing the Kardex for a newly admitted client. Which of the following will be included in this worksheet?
a. Vital signs b. Nursing diagnoses listed by priority c. Responses to medications d. Teaching records