Mary is a 35-year-old patient who recently returned to the surgical unit after surgery to remove an abdominal tumor
As the nurse performs a postsurgical assessment, she discovers that Mary's blood pressure is 90/54, heart rate is 94, and respiratory rate is 22 . Mary's nurse should be most concerned with which of the following?
A. Hypovolemia
B. Left-sided heart failure
C. Right-sided heart failure
D. Hypervolemia
A
Hypovolemia is a reduced circulating blood volume resulting from extracellular fluid losses that occurs in conditions such as shock and severe dehydration. If the fluid loss is significant, the body tries to adapt by increasing the heart rate and constricting peripheral vessels to increase the volume of blood returned to the heart and increase the cardiac output.
You might also like to view...
During transfer, equipment that must be readily available and accessible is/are
A) invasive monitoring equipment. B) cardiac medications and a defibrillator. C) a portable ventilator. D) an emergency surgery kit.
A patient has endocarditis and is taking gentamicin. The nurse will be sure to monitor which of the following?
A) Potassium level B) Creatinine clearance C) Serum albumin level D) Prothrombin time
The pharmacology instructor explains to students that adverse effects can be extensions of what?
A) Primary action of a drug B) Anaphylaxis C) Secondary action of a drug D) Anticholinergic responses to the drug
A 24-year-old schizophrenic client says, "I was in college and suddenly I was hearing voices telling me I was no good and that I should jump off the bridge by our college. My parents came and got me when I called them. We thought that I had inadvertently taken drugs at a party or something. My psychiatrist says that if I can improve, I can return to college next semester." Which guideline does the nurse plan to incorporate into teaching of the client and family about self-care on the client's return to college?
A. Compliance with the treatment regimen, immediate reporting of any relapse signs, avoidance of alcohol and drugs, and living a balanced lifestyle B. Telling all friends about the illness so that they support the client's avoidance of alcohol and drugs and help the client maintain a balanced lifestyle C. Limiting college attendance to commuter status to maintain a supportive family group and avoiding drugs, alcohol, and the strain of socialization D. Compliance with treatment, immediate reporting of any relapse signs, avoidance of alcohol and drugs, and socialization with one supportive friend