When evaluating postoperative status in the postanesthesia care unit, the nurse discovers that progress is being made when the client is experiencing:
A. Eupnea
B. Tachycardia
C. Hypotension
D. Hyperthermia
A
A. This is normal respiration.
B and C. Acute blood loss may lead to hypovolemic shock with signs of reduced blood pressure, elevated heart and respiratory rates, pale skin, and restlessness.
D. Malignant hyperthermia is a rare inherited condition that develops after receiving an anesthetic and is a medical emergency.
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A nurse responds to an IV pump alarm related to increased pressure. Which action should the nurse take first?
a. Check for kinking of the catheter. b. Flush the catheter with a thrombolytic enzyme. c. Get a new infusion pump. d. Remove the IV catheter.
A client presents to the family practice clinic reporting a week of watery, somewhat bloody diarrhea. The nurse assists the client to obtain a stool sample. What action by the nurse is most important?
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A client is admitted to a nursing care unit with a finger injury. A nurse immediately applies pressure to the client's finger to stop the bleeding. Upon application, the client yells with pain as the nurse pressed too hard on the site
After his wound is dressed, the client says that the nurse should not have pressed so hard on the finger and threatens to sue the nurse. The nurse does not respond to the client's threat of law suit. Which factor accounts for immunizing the nurse against prosecution? A) The fact that the nurse administered first aid care to the client B) The fact that the nurse dressed the client's finger wound C) According to nursing laws, nurses are independent of facing trials D) Nurses can be sued only if a malpractice results in a client's death
The nurse is caring for a patient suspected of having an MI. What laboratory tests should the nurse review to determine if this patient did experience an MI?
a. Troponin I and myoglobin b. Bleeding time and total cholesterol c. Urinalysis and complete blood count d. Alkaline phosphatase and prothrombin time