A client presents to the urgent care center with complaints of abdominal pain and vomits bright red blood. Which of the following is the priority action taken by the nurse?
1. Take the client's vital signs.
2. Perform a complete abdominal assessment.
3. Obtain a thorough history of the recent health status.
4. Prepare to insert a nasogastric tube and test pH and occult blood.
1
Rationale: The nurse should take the client's vital signs first to determine whether the client is hypovolemic or in shock from blood loss; this also provides a baseline blood pressure and pulse by which to gauge the effectiveness of treatment. Signs and symptoms of shock include low blood pressure, rapid weak pulse, increased thirst, cold clammy skin, and restlessness.
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A nurse is performing a procedure on a patient, and the patient suddenly says, "I don't want you to do that anymore." The best action by the nurse is to
a. discuss the patient's wishes. b. finish the procedure quickly. c. stop the procedure immediately. d. tell the patient that the procedure is almost done.
After prostate surgery a patient is being discharged with an indwelling urinary catheter in place. What teaching should the nurse provide to this patient?
Select all that apply. 1. Use the larger urinary drainage bag at night. 2. Keep the larger urinary drainage bag at a level that permits gravity drainage. 3. Do not strap the leg bag too tightly. 4. Place a soft cloth between the leg bag and the skin. 5. Empty the leg bag at least twice a day.
The Nutrition Screening Initiative is intended to help
a. identify adults older than 65 who are at nutritional risk. b. identify individuals of all ages who are at nutritional risk. c. determine the level of nutritional risk in older adults in the nation. d. implement strategies to prevent nutritional risk in adults more than 65 years old.
What is the continuum of participation on research?
A) Academics to practitioners B) Consumers to producers C) Journalists to educators D) Mentors to novice nurses