The nurse needs to administer a cardiac glycoside or digitalis to a client with tachycardia. In which case should the nurse withhold the dose until the physician is consulted?
A) When the client's pulse pressure is 35 mm Hg
B) When the client's pulse pressure is 50 mm Hg
C) When the client's heart rate is 50 beats per minute
D) When the client's heart rate is 100 beats per minute
C
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A client nearing end of life is experiencing extreme pain. What should the nurse keep in mind when providing for this client's comfort? (Select all that apply.)
1. Turning and repositioning might add to or alleviate pain. 2. There is no limit on the amount of opioids that can be provided. 3. The pain of dying cannot be adequately treated with medication. 4. The family should not be permitted in the room when care is being given. 5. The client should be coached through alternative pain management approaches.
An adult patient suddenly cries out. The nurse sees the patient's head twisted to the side, the back arched, and the eyes rolled up
The patient has been newly diagnosed with schizophrenia, and therapy with a traditional antipsychotic medication was started yesterday. Select the next nursing action. a. Obtain the patient's vital signs and pulse oximetry. b. Administer a PRN dose of diphenhydramine. c. Administer a PRN dose of haloperidol. d. Explore the patient's feelings about the new diagnosis.
The nurse is performing a gestational age assessment on a newborn. Which characteristic shows the greatest gestational maturity?
a. The infant's arms and legs are extended. b. There is some peeling and cracking of the skin. c. There are few rugae on the scrotum and the testes are high in the scrotum. d. The arm can be positioned with the elbow beyond the midline of the chest.
What would be included in a plan of care that is custodial in its focus?
a. Attention to high-level wellness b. Plans for physiologic and safety concerns c. Aggressive rehabilitation goals d. Patient participation in his or her own care