List six of the signs and symptoms of decreased cardiac output
What will be an ideal response?
Acute changes in blood pressure; acute changes in mental status; cold, clammy skin; color changes in the skin and mucous membranes; crackles (rales); dyspnea; dysrhythmias; fatigue; orthopnea; restlessness
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What is the priority nursing intervention in a patient with status epilepticus?
A) Pad the bed frame to protect from injury. B) Document characteristics of the seizure. C) Administer 50% glucose. D) Establish and maintain an open airway.
A nursing instructor is describing trends in maternal and newborn health care and the rise in community-based care for childbearing women
The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A) 24–48 hours or less B) 72–96 hours or less C) 48–72 hours or less D) 96–120 hours or less
Which step is appropriate when using EMLA cream before intravenous catheter insertion?
a. Rub a liberal amount of cream into the skin thoroughly. b. Cover the skin with a gauze dressing after applying the cream. c. Leave the cream on the skin for 1 to 2 hours before the procedure. d. Use the smallest amount of cream necessary to numb the skin surface.
The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST segment has returned to baseline. How should the nurse interpret this finding?
1. The spasm in the coronary artery has resolved. 2. The myocardial injury is evolving. 3. The patient has become more relaxed. 4. The blocked artery has been reperfused.