The nurse is caring for a patient who sustained a fractured femur from a motor vehicle accident 1 day ago. The patient is anxious, restless, appears short of breath, and requests pain medication for chest discomfort. Which nursing intervention is priority?
1. Administer pain medication as ordered.
2. Increase intravenous fluids.
3. Evaluate the patient's oxygen saturation.
4. Help the patient assume a more comfortable position.
Answer: 3
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A nurse is caring for a client who is receiving cyclobenzaprine. The nurse would expect to assess which of the following as indicating the therapeutic effect of the drug?
A) Reduction of muscle spasm B) Prevention of convulsion C) Relief from anxiety D) Relief from nervous disorder
The nurse is interviewing an adolescent client. The client reports a weight loss of 50 pounds over the last four months, and reports running at least five miles per day. The client asserts that her menarche was five years ago
Her menses are usually every 28 days, but her last menstrual period was four months ago. The client denies any sexual activity. Which of the following statements is best for the nurse to make? A. "Your lack of menses may be related to your rapid weight loss." B. "It is common and normal for runners to stop having any menses." C. "Increase your intake of iron-rich foods to reestablish menses." D. "Adolescents rarely have regular menses, even if they used to be regular."
A resident has diarrhea. You know that the person is at risk for:
a. Dehydration b. Enema c. Fecal incontinence d. An ostomy
A nurse educator is reviewing the implications of the oxyhemoglobin dissociation curve with regard to the case of a current patient
The patient currently has normal hemoglobin levels, but significantly decreased SaO2 and PaO2 levels. What is an implication of this physiological state? A) The patient's tissue demands may be met, but she will be unable to respond to physiological stressors. B) The patient's short-term oxygen needs will be met, but she will be unable to expel sufficient CO2. C) The patient will experience tissue hypoxia with no sensation of shortness of breath or labored breathing. D) The patient will experience respiratory alkalosis with no ability to compensate.