A patient with a tension pneumothorax requires insertion of a pleural chest tube. The nurse assists the physician as multiple doses of a local anesthetic are administered prior to tube insertion. Which observation by the nurse warrants immediate physician attention?
1. The patient's respiratory rate changes from 22 to 26 breaths per minute.
2. The patient complains of pain during anesthetic injections.
3. The patient's systolic blood pressure changes from 156 to 138 mmHg.
4. The patient's heart rate changes from 100 to 75 beats per minute.
Answer: 4
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A pregnant client's history states that she is a gravida 2 para 0 . Which statement is true about this client?
a. She has had a spontaneous or induced abortion. b. She has had an induced abortion. c. She has never been pregnant before. d. She has one living child.
During a routine prenatal visit, Ms. T was noted as having dependent edema, varicosities of the legs, and hemorrhoids. She expressed concern about these symptoms. You explain to Ms
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The nurse is assessing for a herniated nucleus pulposus. Which action is appropriate?
1) Asking the patient to flex hands back to back at a 90-degree angle 2) Asking the patient to raise the affected leg and dorsiflex the foot 3) Asking the patient to elevate both arms over the head for 20 to 30 seconds 4) Percussing lightly over the median nerve
A client taking phenytoin (Dilantin) is admitted to the emergency department with a level of 30 mcg/mL. The nurse would evaluate for the severe side effect of:
a. gingival hyperplasia. b. abdominal distention. c. abdominal cramps. d. hypertension.