The nurse obtains a blood pressure reading of 160/90 from a cardiac patient. What is the first action by the nurse?
a. Obtain the blood in lying, sitting, and standing positions.
b. Contact the primary care provider for medication orders.
c. Recheck the blood pressure in 30 minutes.
d. Check the patient's pattern of blood pressures over the past 3 days.
ANS: D
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In the event a nurse questions a physician's order, the nurse should
A) withhold the medication until further orders. B) express specific reasons for concern to the physician. C) consult with the patient and family about the concern. D) administer the medication, then phone the supervisor.
A patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the county health department
The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? 1. The nurse is not liable for damages, because the nurse has a right to expect that instructions will be followed. 2. The nurse is liable, because there was no follow-up to ensure that the patient received the injection. 3. The nurse is not liable, because tetanus is a reportable disease and the health department should have insisted the patient take the injection. 4. The nurse is liable, because tetanus is easily treatable after diagnosis.
A patient was admitted to a rural ICU in Montan
a. Critical care nurses are assisting with monitoring and care of the patient from the closest major city. This is an example of a. telemedicine. b. tele-ICU. c. tele-informatics. d. tele-hospital.
The nurse is collecting data from an African-American client scheduled for surgery. Which of the following questions would be of least priority for the nurse to ask on initial assessment?
1. "Do you ever experience chest pain?" 2. "Do you have any difficulty breathing?" 3. "Do you have a close family relationship?" 4. "Do you frequently have episodes of headache?"