The patient has suffered an air embolus. The quick-thinking nurse immediately:
1. turns the patient to the left side and lowers the head of the bed.
2. calls the Code Team.
3. gives O2 at 100% in a nonrebreathing mask.
4. notifies the charge nurse.
1
Lowering the head of the bed and turning the patient to the left side traps the air in the left atrium where it can be more readily circulated into the circulating volume and reabsorbed.
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The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department. What drug will the nurse administer before transferring the patient to a larger facility?
A) Anagrelide (Agrylin) B) Clopidogrel (Plavix) C) Ticlopidine (Ticlid) D) Tenecteplase (TNKase)
As part of a school district health program for students, the nurse visits students diagnosed with asthma at home. Which home environment factor should the nurse identify as contributing to the development of this respiratory disease?
1. Pesticides. 2. Peeling paint. 3. Secondhand smoke. 4. A fuel source for cooking.
Upon assessment of a client's wound, the nurse notes the formation of granulation tissue. The tissue easily bleeds when the nurse performs wound care. What is the phase of wound healing characterized by the nurse's assessment?
A) Proliferation phase B) Hemostasis C) Inflammatory phase D) Maturation phase
A patient with severe depression signed permission for electroconvulsive therapy (ECT). Later, the patient tells the nurse, "I signed permission for treatment after my spouse told me I could be deported if my depression can't be cured."
The nurse assesses that: a. the patient's consent may have been coerced. b. all the elements of informed consent were met. c. the patient may not fully understand the risks and benefits. d. the patient is not competent to sign permission for treatment.