An LPN is collecting data on a patient who had thoracic surgery this morning. Vital signs earlier following surgery were as follows: blood pressure 156/94 mm Hg, pulse 100 beats/min, respirations 14/min, and temperature 97.4°F (approximately 36.3°C)

Which new finding should be reported to the physician immediately?
a. Blood pressure 110/76 mm Hg
b. Pulse 88 beats/min
c. Respirations 18/min
d. Temperature 98.4°F (approximately 36.9°C)


ANS: A
Although the blood pressure is still normal, it has dropped significantly and could signify bleeding or impending shock. The other vital signs are not as remarkable.

Nursing

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Angioedema is a potentially life-threatening medical condition that is associated with some classes of antihypertensive medications. The nurse suspects that a client is experiencing angioedema based on which assessment finding? Select all that apply

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A nurse is teaching a group of nursing students about antibodies. The nurse correctly explains that which type of response is triggered when antigens bind to antibodies on mast cells or basophils?

a. Acquired immune response b. Autoimmune response c. Hypersensitivity reaction d. Transplant rejection

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Height = 90 cm; weight = 25 kg. Calculate the BSA: ________. (Round to the nearest hundredth)

Fill in the blank(s) with the appropriate word(s).

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Height = 48 in.; weight = 80 lb. Calculate the BSA: ________. (Round to the nearest hundredth)

Fill in the blank(s) with the appropriate word(s).

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