A critical care nurse is caring for a client in a hypertensive crisis. Blood pressure is being reduced slowly. The nurse is aware that if the blood pressure is lowered too much too quickly, the patient is at risk for
A) a myocardial infarction.
B) a cerebral infarction.
C) renal failure.
D) All of the above are correct.
C
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How should the nurse respond when asked by the mother of a child with beta-thalassemia why the child is receiving deferoxamine?
a. "To improve the anemia." b. "To decrease liver and spleen swelling." c. "To eliminate excessive iron being stored in the organs." d. "To prepare your child for a bone marrow transplant."
A client who suffered a spinal cord injury at level T5 several months ago develops a flushed face and blurred vision. On taking vital signs, the nurse notes the blood pressure to be 184/95 . What is the nurse's best first action?
A. Palpate the area over the bladder for distention. B. Place the client in the Trendelenburg position. C. Administer oxygen via a nasal cannula. D. Perform carotid massage.
The nurse is reviewing the agents available to disinfect the hands after providing client care. Which agents should the nurse consider using?
1. Triclosan 2. Chlorine (bleach) 3. Isopropyl alcohol 4. Hydrogen peroxide 5. Chlorhexidine gluconate
When performing dosage calculation for a high-alert medication, you should
A. administer the medication as soon as you have calculated the dose. B. have another healthcare professional calculate the dosage independently. C. show another healthcare professional the vial of medication to validate the dosage. D. show the syringe to another healthcare professional to verify the dosage.