Your patient is a 20-year-old male who is conscious, alert, and in severe distress. He describes a 3-day history of diffuse abdominal pain near his umbilicus that became sharp and migrated to his lower right quadrant this morning. He states that the pain became acutely worse 1/2 hour ago and that he is now lightheaded, nauseated, and has vomited numerous times. Physical examination reveals his skin to be cool, pale, and diaphoretic, and he will not let you palpate his abdomen. HR = 132, BP = 76/50, RR = 22, SaO2 = 95%. Based on his clinical presentation, the most proper treatment, in addition to giving oxygen, would be:
A) IV of normal saline, fluid challenge, left lateral recumbent position, expedited transport.
B) IV of normal saline wide open, Trendelenburg position, rapid transport.
C) IV of normal saline, fluid challenge, supine position, expedited transport.
D) IV of normal saline wide open, left lateral recumbent position, phenergan IV, transport.
Answer: A) IV of normal saline, fluid challenge, left lateral recumbent position, expedited transport.
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A woman who travels extensively for her job has been prescribed triazolam (Halcion) as a sleep aide. During patient teaching, what information should the nurse prioritize?
A) "To avoid becoming dependent on this drug, you should only take it every other night." B) "Having one to two alcoholic drinks each evening can make Halcion more effective." C) "You need to plan your bedtime carefully, because you should take this drug 1 to 2 hours before you want to sleep." D) "If you stop taking this drug suddenly, you might find that your insomnia is worse than ever."
The student nurse understands that the barriers to effective use of time include such things as clutter, interruptions, procrastination, and:
a. delegation c. making lists b. perfectionism d. taking activity breaks
What instruction should the nurse give a client who is to undergo a multiple gated acquisition (MUGA) scan?
A) Avoid any activity at least 2 hours before the test. B) Drink plenty of fluids during the test. C) Avoid dairy products a day before and a day after the test. D) Lie very still at intermittent times during the test.
The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?
a. Explain the disorder so they can explain it to others. b. Help parents understand that this is a minor problem. c. Suggest that parents avoid family and friends until the gender is assigned. d. Encourage parents not to worry while the tests are being done.