Immediately following an epidural block, a woman's blood pressure suddenly falls to 90/50 . Your first action would be to
A) raise her head off the bed.
B) ask her to inhale deeply at least five times.
C) administer oxygen by facemask.
D) turn her on her left side or raise her legs.
D
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A nurse is caring for a morbidly obese client. What comfort measure is most important for the nurse to delegate to the unlicensed assistive personnel (UAP)?
a. Designating "quiet time" so the client can rest b. Ensuring siderails are not causing excess pressure c. Providing oral care before and after meals and snacks d. Relaying any reports of pain to the registered nurse
A nurse is performing a physical assessment on a new 3-year-old boy. The mother answers "no" when asked if the child is up to date with vaccinations. The child presents with slight fever and spasms of coughing that make a "whooping" sound
The mother said that occasionally the child vomits after coughing so hard. What disease would the nurse suspect? A) Tetanus B) Pertussis C) Diphtheria D) Haemophilus influenzae type b
When planning care, the nurse would identify which client as needing logrolling for position changes?
1. A client with documented pneumonia 2. The client who has had abdominal surgery 3. The client who fell from a house, sustaining a fractured tibia 4. A client who has a severe headache from hypertensive crisis
Assessment of a client reveals that the area directly under the heating pad is slightly red. The nurse should:
A. Continue the therapy B. Apply a cold compress C. Reduce the amount of heat D. Remove the pad and reassess in 5 minutes