A 19-year-old has been brought to the emergency department (ED) by ambulance after a suspected overdose of a herbal preparation that contained ephedra
Due to the risk of seizures and intracranial hemorrhage, the nurse should prioritize what assessment? A) Continuous oxygen saturation monitoring
B) Blood pressure monitoring
C) Respiratory auscultation
D) Assessing extremities for color, warmth, movement, and sensation
B
Feedback:
Ephedrine and ephedra-containing herbal preparations (e.g., ma huang, herbal ecstasy) are often abused as an alternative to amphetamines. The primary clinical manifestation of this adrenergic drug toxicity is severe hypertension, which may lead to headache, confusion, seizures, and intracranial hemorrhage. Vigilant blood pressure monitoring is thus a high priority.
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a. The population of the United States will probably become younger and more assimilated b. The population of the United States will become more diverse and older c. The number of Asians living in the United States will decrease d. The percentage of blacks living in the United States will increase more than any other ethnic group
The nurse is caring for a patient who was hit on the head with a hammer. The patient was unconscious at the scene briefly but is now conscious upon arrival at the emergency department (ED) with a GCS score of 15
One hour later, the nurse assesses a GCS score of 3 . What is the priority nursing action? a. Stimulate the patient hourly. b. Continue to monitor the patient. c. Elevate the head of the bed. d. Notify the physician immediately.
The nurse researcher reports that after data collection was completed, a follow-up focus group session with participants was used to validate that the participants agreed the findings were true to their own experiences
What aspect of the study does this support? a. The study's credibility b. The study's auditability c. The study's transferability d. The study's fittingness
You are performing a clinical breast examination for a 55-year-old woman. While palpating the supraclavicular area, you suspect that you feel a node. To improve your hooked technique, you should:
a. apply lotion to your hands. b. use both hands simultaneously. c. ask the patient to press both palms togeth-er. d. ask the patient to turn her head toward that side.