The nurse would question the order for a sedative for a patient with which of the following diagnoses?
a. Chronic obstructive pulmonary disease (COPD)
b. Any form of dementia
c. Hypertension
d. Sleep apnea
ANS: D
Sedation may prevent the patient with sleep apnea to awaken to restore respiration.
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The nurse is caring for a patient who is undergoing a major cardiac procedure. The patient tells you her heart is racing and she feels nauseated. You know this is part of hormone response known as:
a. sense of coherence. b. stress appraisal. c. fight or flight. d. sympathoadrenal response.
Excessive anxiety during labor heightens the woman's sensitivity to pain by increasing:
a. Muscle tension. b. Blood flow to the uterus. c. The pain threshold. d. Rest time between contractions.
A patient with hypocalcemia is having carpopedal spasms. What is this called?
A) Mendhelson's sign B) Trousseau's sign C) Chvostek's sign D) Jone's sign
A nurse suspects that the IV line infusing vincristine (Oncovin) has infiltrated. The nurse discontinued the line. Which other actions are indicated?
1. Apply local ice packs. 2. Inject hyaluronidase per protocol. 3. Place a tourniquet on the client's arm above the IV site. 4. Place warm compresses on the site. 5. Administer prednisone per protocol.