Immediately after receiving spinal anesthesia a client develops hypotension. To what physiologic change does the nurse attribute the decreased blood pressure?
a. dilation of blood vessels
b. decreased response of chemoreceptors
c. decreased strength of cardiac contraction
d. distribution of cardiac accelerator pathways.
Answer: a. dilation of blood vessels
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The nurse who notes documentation of Grey Turner's sign in a client who experienced renal trauma would interpret this to be a manifestation of
a. increased blood urea nitrogen. b. proteinuria. c. retroperitoneal hemorrhage. d. urine specific gravity of 1.20.
During the insertion of the nasogastric (NG) tube into a patient's left nares, the nurse meets strong resistance. What should the nurse have done to minimize the chance that this problem would occur?
a. Use a small-diameter tube. b. Apply lubricant to the NG tube. c. Instruct the patient to bear down. d. Assess the patency of both nostrils.
Which does the nurse include in client teaching before bronchoscopy?
1. Swallow the anesthetic solution for best results. 2. The nurse offers food or fluids after the procedure. 3. The tube passes through the nose and throat easily. 4. Avoid food and fluids for 2 to 3 hours beforehand.
A nurse observes a patient with a history of aggressive behavior toward others pacing in the dayroom while appearing to talk to himself. The nurse will best intervene with this patient therapeutically by:
a. asking him to sit in the dayroom and watch television with the other patients and staff. b. instructing him to go to his room and remain there until he shows that he can be sociable. c. asking him if he would like to walk to his room where he and the nurse can sit together quietly to discuss the cause of his behavior. d. assigning an ancillary staff member the task of walking him around the unit for several minutes and then returning him to his room.