A client with a cerebrovascular accident (CVA) is prescribed heparin for treatment. For which of the following adverse effects should the nurse monitor in the client?
A) Migraine attacks C) Respiratory distress
B) Hemorrhage D) High blood pressure
B
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When an order for eye irrigation is received, to whom can the nurse delegate the procedure to?
a. The patient b. Another nurse c. A nursing assistant d. A family member
A client is scheduled for a joint replacement surgery. Which of the following actions should a nurse take at this stage?
A) Ensure adequate fluid intake before the surgery. B) Withhold intake of solid food before the surgery. C) Withhold administration of aspirin before the surgery. D) Ensure adequate sleep before the surgery.
Which of the following is the priority intervention for a supine client whose monitor strip shows decelerations that begin after the peak of the contraction and return to the baseline after the contraction ends?
a. Increase IV infusion. b. Elevate lower extremities. c. Reposition to left side-lying position. d. Administer oxygen per face mask at 4 to 6 L/min.
A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are signs of:
a. infantile hydrocephalus. b. acromegaly. c. Cushing syndrome. d. achondroplasia.