During the colonoscopy, K.L. begins passing large amounts of bright red blood. He becomes paler and
more diaphoretic and begins to have an altered level of consciousness.
Identify five immediate interventions you should initiate.
What will be an ideal response?
• Switch O2 to non-rebreather mask at flush flow rate (100% O2).
• Open up the IV with 0.9% NaCl.
• Call the blood bank and secure the first unit of RBCs.
• Put K.L. in a modified Trendelenburg position.
• Get a set of VS.
• Reassure K.L. that you are with him. Do not forget the person behind the crisis.
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Which statement indicates that the client is in the informal stage of maternal role attainment?
1. "I fed the baby. I hope I did it right. Will you watch my next feeding?" 2. "I am so excited to become a mother next month!" 3. "It works better for me to undress the baby and nurse in the chair." 4. "I hope that I'm as good a mother as my mother was to me."
A nurse is planning patient teaching about a newly prescribed drug. What is a priority teaching point included by the nurse to improve compliance and safety?
A) List of pharmacies where the drug can be obtained B) Measures to alleviate any discomfort associated with adverse effects C) The cost of the brand name drug compared with the generic form D) Statistics related to Phase III testing for the prescribed drug
Which of the following should the nurse instruct an elderly client diagnosed with chronic venous insufficiency?
1. Keep the legs dependent as much as possible and elevate only when asleep 2. Standing will prevent the progression of the disease 3. Cross legs only at the knees 4. Wear elastic hose as prescribed
The client has been diagnosed with syphilis. The infective process for this client is known to be greater than 1 year
Because of the type and length of the infectious process, the nurse anticipates that the type of drug to administer and the time of administration will be: a. spectinomycin IM once in the early stage of the disease. b. doxycycline IM once weekly for 3 weeks. c. probenecid IM once in the early stage of the disease. d. benzathine penicillin G IM once weekly for 3 weeks.