A patient is admitted for evaluation of hypotension. Which assessment by the nurse would require immediate attention?
1. Pulmonary artery wedge pressure of 2 mmHg
2. Heart rate of 112
3. Urine output of 25 mL/hr
4. Presence of rales at both lung bases
Answer: 1
You might also like to view...
The nurse is going to implement a protocol. For which action is the nurse most likely to follow this type of intervention?
a. Preparation of a client for a diagnostic procedure b. Adjustment of a client's blood pressure medications c. Administration of IV fluids d. Management of a client with acute pain
Which dressing will most likely stick to a wound?
a. Non-adherent gauze b. Dry dressing c. Transparent adhesive film d. Wet-to-wet dressing
By encouraging patients in long-term care to make their own decisions about their daily schedule, activities, and what clothing to wear, you are meeting which of their human needs?
A. Self-actualization needs B. Safety and security needs C. Physiological needs D. Self-esteem needs
A woman experienced a miscarriage at 10 weeks of gestation and had a dilation and curettage (D&C)
She states that she is just fine and wants to go home as soon as possible. While you are assessing her responses to her loss, she tells you that she had purchased some baby things and had picked out a name. On the basis of your assessment of her responses, what nursing intervention would you use first? a. Ready her for discharge. b. Notify pastoral care to offer her a blessing. c. Ask her whether she would like to see what was obtained from her D&C. d. Ask her what name she had picked out for her baby.