Once a patient enters the post-anesthesia care unit (PACU), a nurse's priority is the immediate application and observation of a(n)
1. Pulse oximeter.
2. Electrocardiogram (EKG) monitor.
3. Blood pressure monitor.
4. All of the above.
ANS: 4
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The reproductive care clinic nurse teaches young women about their risk for sexually transmitted infections, which include:
Select all answers that apply: A) Increased genital mucosal surface area B) Temperature of the vaginal area C) Increased number of pubic hair follicles D) Alkaline pH of the vagina
Which assessment question would be least likely to elicit information relevant to suicidality?
A) "Have you had any thoughts about harming yourself?" B) "How many times have you threatened to kill yourself in the past but didn't act on it?" C) "Do you have a particular plan in mind?" D) "Do you have access to the means to carry out the plan?"
When performing a procedure on a bedfast patient, the bed should be in the ____________________ position.
Fill in the blank(s) with the appropriate word(s).
A patient has received a heart transplant for dilated cardiomyopathy. Because the patient has a high risk for cardiac tamponade, of which sign/symptoms does the nurse immediately notify the provider?
a. Crackles and wheezes of the lungs b. Pulsus paradoxus and muffled heart sounds c. Hepatomegaly and ascites d. Dependent edema and fluid retention