A patient is receiving postoperative analgesia through a PCA pump. The nurse has given the patient a bolus of a narcotic medication. It is important for the nurse to assess the patient for:
A) Sedation
B) Respiratory depression
C) Fluid overload
D) Changes in their skin integrity
Ans: B
Feedback: Whenever patients are receiving a narcotic bolus, they should be assessed for respiratory depression.
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The nurse working in an urgent care center admits a 5-year-old who fell while riding her bicycle. The child is awake but sleepy, which could be explained by it being close to bedtime
The nurse assesses pupil response and finds the left eye responds rapidly and constricts to 2 mm, while the right eye responds more slowly and constricts to 5 mm. The nurse will: 1. Prepare to transfer the child to the hospital. 2. Instruct the parents to wake the child every two hours and assess mentation. 3. Administer ordered narcotic analgesic for pain. 4. Encourage the child to cough and deep-breathe.
Which of the following is true about how Americans die?
a. most wish to die at home b. about 25% die at home c. about 75% die at home d. a and b
A 72-year-old woman with multiple chronic health conditions has been informed that she will need to have hip replacement surgery
The woman is having difficulty navigating the complexity of the health care system, but wishes to maximize her health outcomes. Who would be most helpful in assisting the woman? A) A coordinated care manager B) A nurse practitioner C) A client advocate D) A family physician
A nurse is formulating a nursing diagnosis for hospitalized patient with acute mental status changes and UTI. which nursing diagnoses are appropriate? Select all that apply.
A. Total Incontinence related to UTI as evidence by patient's spontaneous urination and inability to recognize urge. B. Acute confusion related to UTI as evidence by patient's statement that she is at home C. Situational low self esteem related to incontinence as evidence by patient crying. D. Ineffective Health Maintenance related to acute mental status changes as evidenced by UTI