His vital signs are now 160/72, 64, 10, 98.7 ° F (37.1 ° C), and Spo2 94%. What is your concern
and why?
What will be an ideal response?
Systolic hypertension with widening pulse pressure, bradycardia, and respiratory changes represent
Cushing's triad and indicate that the intracranial pressure has increased and brain herniation may
occur unless immediate action is taken to lower intracranial pressure.
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When explaining how verapamil (Calan) produces its effects on the cardiovascular system, which of the following would the nurse integrate into the explanation? Select all that apply
A) Reduction in the release of renin B) Dilation of coronary arteries C) Dilation of peripheral arteries D) Slowed conduction through the SA and AV nodes E) Membrane-stabilizing effects
An adolescent comes to the school nurse after experiencing shin splints during a track meet. What reassurance should the nurse offer?
a. Shin splints are expected in runners. b. Ice, rest, and nonsteroidal antiinflammatory drugs (NSAIDs) usually relieve pain. c. It is generally best to run around and "work the pain out." d. Moist heat and acetaminophen are indicated for this type of injury.
The nurse is describing to a client diagnosed with AIDS the use of "the cocktail" to attack development cycles of the virus
Which of the following class of drugs that may be found in this cocktail disables a protein that the HIV needs for replication? A) Entry inhibitors B) Nonnucleoside reverse transcriptase inhibitors (NNRTIs) C) Nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) D) Protease inhibitors (PIs)
A patient who takes warfarin (Coumadin) is brought to the emergency department after accidentally taking too much warfarin
The patient's heart rate is 78 beats per minute and the blood pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not have any obvious hematoma or petechiae and does not complain of pain. The nurse will anticipate an order for: a. vitamin K (phytonadione). b. protamine sulfate. c. a PTT. d. a PT and an INR.