Restlessness or a change in mental status could indicate hypoxia
a. true
b. false
Answer: a. true
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A nurse witnesses a patient having a panic attack in the ICU after learning that he has terminal lung cancer. Recognizing that he is in the alarm phase of the general adaptation syndrome, what physiological adaptations should the nurse expect?
A) Drop in blood pressure B) Release of cortisol C) A shock state D) Heart rate drops from its peak but remains elevated
A client's blood alcohol level is 100 mg/dL (0.10 mg%). He is clumsy and slightly off balance as he
performs the roadside sobriety tests. A second client's blood alcohol level is 300 mg/dL (0.30 mg%). He is clumsy and slightly off balance as he performs the roadside sobriety tests, but not appreciably more affected than the other client. How can this be accounted for? a. The second client is an alcohol-tolerant person. b. The first client is an alcohol-tolerant person. c. The second client takes disulfiram. d. The first client takes naltrexone.
You are the nurse planning to teach tracheostomy care to one of your patients. What is the most important variable in patient teaching that you need to utilized?
A) Providing the most up-to-date information available B) Alleviating the patient's guilt associated with not knowing appropriate self-care C) Determining the patient's readiness to learn new information D) Building on previous information
The nurse on a medical-surgical unit is providing caring for a 40-year-old patient with pulmonary arterial hypertension (PAH). The prescriber has ordered sildenafil (Revatio) for the patient
Which of the following situations would prompt the nurse to call the prescriber prior to starting administration of the drug? a. Blood glucose of 100, and the patient has type 2 diabetes b. Blood pressure of 108/51 and concurrent use of nitrates c. Respirations of 16, and the patient is taking an opiate every 6 hours d. Jaundice of the sclera with a history of cirrhosis