On admission to the emergency department the burned client's blood pressure is 90/60, with an apical pulse rate of 122 . These findings are an expected result of what thermal in-jury–related response?
A. Fluid shift
B. Intense pain
C. Hemorrhage
D. Carbon monoxide poisoning
A
Intense pain and carbon monoxide poisoning increase blood pressure. Hemorrhage is unusual in a burn injury. The physiologic effect of histamine release in injured tissues is a loss of vascular volume to the interstitial space, with a resulting decrease in blood pressure.
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When faced with the prospect of change, the nurse states, ?We have always done it this way and never had any problems.? A few weeks later, the same nurse remarks, ?This new way seems to work better than the old way did
? This statement is characteristic of which type of change response? 1. Laggards 2. Innovators 3. Early adopters 4. Early majority
After completing a medication history the nurse is concerned that an older patient is at risk for drug toxicity. What did the nurse most likely assess in this patient? (Select all that apply.)
A) Takes medication for glaucoma B) Experiences transient dizziness after taking anticonvulsant medication C) Has blood work done every 3 months to check anticonvulsant drug levels D) Takes digoxin for a cardiac dysrhythmia and carbamazepine for seizures once a day E) Takes prescribed gabapentin for peripheral neuropathy with grapefruit juice every day
The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present?
1. The sexual advances occurred over a period of at least 6 weeks. 2. The conduct was explicit and was a condition of employment. 3. There was psychological damage from the conduct. 4. The actions created a hostile or abusive environment.
A client asks the nurse why a creatinine clearance test is accurate. The nurse is most correct to reply which of the following?
A) "Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney." B) "Creatinine is metabolized in the liver and excreted by the kidney at a regular rate." C) "Creatinine is a stress-related response that is excreted by the kidney." D) "Creatinine is found in the urine to make the urine acidic and can be measured."