The clinic nurse is assessing a patient being seen for a severe allergic reaction to environmental allergens. Which symptom should the nurse prioritize as the most important?
a. Hypotension
b. Urticaria
c. Dyspnea
d. Rhinorrhea
ANS: C
Dyspnea (difficulty breathing) caused by constriction and spasm of the bronchial tubes is the priority. Hypotension (low blood pressure), urticaria (severe itching), and rhinorrhea (running nose) can occur during a severe allergic reaction but are not the priority.
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Which of these factors set the stage for nursing reforms that led to the establishment of the Nightingale Training School of Nurses in 1860?
a. public outcry over the limited resources available to the many people who were sick and indigent b. religious influence in surrounding countries c. social conditions and the need for nurses d. the proliferation of factories and the deteriorating health of laborers
A client with a history of heart failure is being discharged. Which priority instruction will assist the client in the prevention of complications associated with heart failure?
a. "Avoid drinking more than 3 quarts of liquids each day." b. "Eat six small meals daily instead of three larger meals." c. "When you feel short of breath, take an additional diuretic." d. "Weigh yourself daily while wearing the same amount of clothing."
While the nurse is assisting a patient in taking his medications, the medication cup falls to the floor, spilling the tablets. What is the nurse's best action at this time?
a. Discarding the medications and repeating preparation b. Asking the patient if he will take the medications c. Waiting until the next dose time, and then giving the medications d. Retrieving the medications and administering them to avoid waste
A nurse is interested in improving client care in the unit and determines that the best way to do so is to:
1. Read nursing research journals. 2. Return to school for an advanced degree. 3. File a report when a mistake is made. 4. Monitor the use of unit supplies.