What should be the nursing priority when caring for a patient with a hypertensive crisis?
a. Suctioning secretions
b. Monitoring for seizure activity
c. Monitoring fluid volume
d. Preventing hyperthermia
B
The care of a patient with hypertensive crisis focuses on monitoring for seizure activity and level of consciousness, which would suggest the occurrence of a stroke.
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A child is on IV heparin. Which laboratory value does the nurse analyze to determine if the dose is therapeutic?
A. Platelet count B. PT C. PTT D. Red blood cell count
A 28-year-old client is concerned that her 1-day-old infant has some blood-stained
discharge from the vagina. Which should the nurse tell the client is the cause for the discharge? A) Injury during delivery procedure B) Lack of vitamin K in the newborn baby C) Medication used by the nursing mother D) Sudden absence of the mother's hormones
What regulates the rate and force of heart contractions?
A. The somatic nervous system B. The cerebellum C. The central nervous system D. The autonomic nervous system
The nurse documents which information in the patient's history?
a. The patient's skin feels warm to the touch. b. The patient is scratching his arm. c. The patient's temperature is 100° F. d. The patient complains of itching.