The client is admitted to the postanesthesia care unit (PACU) after surgery that took place with the client in the lithotomy position. Which change in assessment findings alerts the nurse to a possible complication of this surgical position?
A. The electrocardiogram (ECG) shows tall, peaked T waves and wide QRS com-plexes.
B. The client only arouses in response to light shaking.
C. The pulse pressure has increased from 28 to 40 mm Hg.
D. The dorsalis pedis pulses are not palpable bilaterally.
D
The lithotomy position can compromise the client's peripheral circulation in the lower extremities.
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A client with a history of type 1 diabetes is discussing his medication regimen with his nurse
The client is able to relate the pathophysiology of diabetes to each of the potential complications of the disease and is well-versed in different types of insulin and oral antihyperglycemics. The nurse should recognize that this client demonstrates a high level of: A) Health autonomy B) Personal responsibility C) Health literacy D) Learning needs
The nurse is assessing the ears of a patient who is African American. Which assessment finding should the nurse identify as abnormal?
1. During the Rinne test, the patient hears the sound by air conduction for an equal amount of time as by bone conduction. 2. The patient is able to hear whispers from 18 inches away. 3. The patient's cerumen is dark gray. 4. The patient's tympanic membrane is pearly gray.
Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)?
A. CBC (complete blood count) with differential B. Vaginal culture for Neisseria gonorrhea C. Throat culture for Streptococcus A D. RPR (rapid plasma reagin)
A client with chronic sinusitis complains of heart palpitations and nervousness following the use of pseudoephedrine (Afrin) nasal spray. The nurse recognizes that these side effects are the result of which classification of medication?
1. Sympathomimetics 2. Adrenergic blockers 3. Histamines 4. Parasympathomimetics