Which of the following nursing actions are of greatest priority following a percutaneous coronary intervention?
1. restrict fluids for 4 to 6 hours
2. perform ROM to the affected limb
3. assess brachial blood pressure
4. promote deep breathing and coughing
3
Rationale: Hypotension may be caused by bleeding at the access site. Bleeding must be reported to the cardiologist immediately. Although important, the other interventions could be delayed. Assessing brachial blood pressure is of the highest priority for the patient at this time.
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Which of the following best describes these programs? a. Faith-based initiatives b. Free confidential employee assistance programs (EAPs) c. Fee-for-service private counseling d. The nurse manager fills this role in most institutions.
A postpartum patient reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. The nurse suspects:
1. Nipple soreness. 2. Engorgement. 3. Mastitis. 4. Letdown reflex.
Which concepts should the nurse include in the discharge instructions for a child who has undergone a hematopoietic stem cell transplantation (HSCT)? Select all that apply
1. Keeping the child on a high-calcium diet 2. Practicing good hand washing 3. Avoiding live plants and fresh vegetables 4. Avoiding influenza vaccinations 5. Returning the child to school within 6 weeks
The _________________ of a drug is the blood serum concentration reached and maintained after repeated, fixed doses
Fill in the blank(s) with correct word