A nurse is caring for a patient after abdominal surgery in the postanesthesia-care unit. The patient's blood pressure has increased and the patient is restless
The patient's oxygen saturation is 97%. What is the likely cause for the increase in blood pressure and restlessness?
A) The patient's temperature is low.
B) The patient is in shock.
C) The patient is in pain.
D) The patient is nauseated.
Ans: C
Feedback: An increase in blood pressure and restlessness are symptoms of pain. The patient's oxygen saturation is 97 %, so hypothermia and shock are not likely causes of the patient's restlessness.
You might also like to view...
A patient's current drug regimen includes intranasal administration of desmopressin acetate (DDAVP, Stimate). In this patient's plan of nursing care, what is the most likely desired outcome of treatment?
A) The patient's urine output will not exceed 80 mL/h. B) The patient will gain 2 cm in height over the next 6 months. C) The patient will ovulate at least once over the next 8 weeks. D) The patient's vertical growth will cease in the next 4 weeks.
What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
a. Headache b. Bulging fontanel c. Tachypnea d. Increase in head circumference
What are the reasons nursing theory is important to the profession? (Select all that apply.)
a. Nursing theory is used to guide research but not practice. b. The goal of nursing theory is to support excellence in practice. c. Nursing as a profession becomes stronger when nursing knowledge is built on sound theory. d. Theory is a useful tool for reasoning, critical thinking, and decision making. e. Nursing theory is used by other disciplines.
The nurse is preparing to administer ketoconazole (Nizoral) to a client. What liquid can safely be administered with this medication?
1. Pepsi 2. Apple juice 3. Milk 4. Milkshake