During a routine prenatal visit, a client, 36 weeks' pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 and irregular with bilateral crackles in lower lung bases
Which nursing diagnosis would be the priority for this client? A) Ineffective tissue perfusion related to hypotensive syndrome
B) Impaired gas exchange related to pulmonary congestion
C) Activity intolerance related to increased metabolic requirements
D) Anxiety related to fear of pregnancy outcome
B
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The nurse, working in the postanesthesia care unit inserts an oral airway into the semiconscious patient to prevent airway obstruction. When should the airway be removed?
a. When the patient can be aroused b. When the patient is 24 hours postoperative c. When the patient removes it d. When the provider prescribes that it be removed
The nurse is interviewing an older adult Hispanic client who complains of recent weight loss, anorexia, and epigastric pain
The client reports recent use of "mints" for stomach upset. Based on this assessment data, which interventions are appropriate for this client? Select all that apply. 1. Schedule the client for an endoscopy as ordered. 2. Educate the client regarding the importance of taking antacids after meals and at bedtime as suggested by the healthcare provider. 3. Educate the client regarding Helicobacter pylori infections. 4. Discuss the importance of using over-the-counter aspirin for mild pain relief. 5. Educate the client about the importance of avoiding all spicy foods as this is the most likely cause of the peptic ulcer.
What aspect of pharmacology does a nurse study? (Select all that apply.)
A) Chemical pharmacology B) Molecular pharmacology C) Impact of drugs on the body D) The body's response to a drug E) Adverse and anticipated drug effects
A 78-year-old client experiences a gran mal seizure. The nurse notes the time at the onset of the seizure. The seizure continues, exceeding 10 minutes. The nurse notifies the physician
Which of the following interventions can the nurse likely anticipate being ordered? A) Administer 0.9% sodium chloride IV. B) Administer an intravenous bolus of 10% dextrose. C) Administer an intramuscular injection of diazepam. D) Administer 5% dextrose solution IV.