A patient has lost over 1000 ml of blood during a surgical procedure that is estimated to continue for at least another 2 hours. The nurse anesthetist prepares to administer packed red blood cells to the patient during the procedure
Which of the following patient care activities is the nurse anesthetist conducting? 1. Perianesthetic clinical support
2. Maintenance
3. Postanesthesia care
4. Preanesthetic preparation
Perianesthetic clinical support
Rationale: The patient needing blood during a surgical procedure is an example of clinical support that needs to be done while the surgery and anesthesia are also occurring. In maintenance, the patient is continued to be provided with anesthesia. Postanesthesia care is that provided after the anesthesia has been stopped. Preanesthetic preparation includes assessing the patient's previous experience with anesthesia and determining which type of anesthesia would be the most appropriate for the patient and the upcoming surgery.
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Police bring a 63-year-old woman to the emergency room, reporting that her behavior is disorganized and disruptive, that her speech makes little sense, and that she does not seem able to take care of herself
The woman has had elective surgeries at the hospital previously and was seen in the ER last week after a fall; records show no history of similar symptoms or mental illness. The ER physician speaks with the patient but does not examine her medically, diagnoses her with schizophrenia, and orders admission to the inpatient psychiatric unit. Which response by the nurse would be most appropriate? a. Ask another physician with more of an interest in psychiatry to also take a look at this patient, explaining that you just want to be as thorough as possible. b. Suggest that a psychiatric consult be requested before admitting the patient to a psychiatric unit, to validate the diagnosis and speed the initiation of medication. c. Remind the physician that schizophrenia usually develops earlier in life, that such presentations may be caused by medical problems, and suggest a medical work-up. d. Note that the patient's blood pressure and respirations were elevated when she arrived, and suggest that they be evaluated before admitting the patient to the psychiatric unit.
A nurse educates a student nurse about hospital identification bands. The nurse correctly teaches that hospital identification bands contain which of the following pieces of patient information? Select all that apply
1. Age 2. Birth date 3. Room number 4. Physician's name 5. Medical diagnosis
Which of the following is/are true of graduates with the Doctor of Nursing Practice (DNP) degree?
a. Graduates with DNP are prepared to blend clinical, economic, organizational, and leadership skills to influence health care outcomes b. Graduates with DNP are prepared to use science to improve care of patient populations c. Graduate with DNP are prepared to use clinical skills and science to improve direct care of patients d. A & B only e. All of the above
A patient who was unable to provide a medication history was admitted to the unit. The patient is receiving penicillin for treatment of an infection. The patient begins to wheeze
Upon assessing the patient, the nurse finds an edematous airway, bronchoconstriction, and a blood pressure of 88/47. The nurse's priority action should be to a. obtain suction and an oropharyngeal airway device. b. administer epinephrine (adrenalin). c. check the oxygen saturation and apply oxygen. d. administer IV fluids to increase the blood pressure.