An 80-year-old male patient is in the intensive care unit has suffered a fractured femur. You are making rounds and notice he is somnolent, with no response to verbal or physical stimulation
He has been on round the clock opioid doses q 4 hours. What is the nurse's first action?
a. Call the rapid response team to care for the patient immediately.
b. Discontinue the opioids on the medication administration record.
c. Assess the patient's blood pressure and pain level.
d. Start a second intravenous line with a large bore catheter.
ANS: B
After establishing unresponsiveness, the next action is to call a Rapid Response. The patient is not able to subjectively describe pain if unresponsive. Another IV line may be needed, but first the nurse should call for help. The opioids should be discontinued on the MAR; however the priority action is to call for help.
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A) The MEDLINE database can be accessed only through subscriptions with a commercial vendor such as Ovid. B) PubMed provides free access to MEDLINE. C) The MEDLINE database includes citations only to English-language journals. D) A search in MEDLINE and CINAHL for a given keyword would yield identical results.
When writing a care plan for a client with a somatoform disorder, what nursing diagnosis would most likely be included?
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Which of the following may be a thermoregulation risk in the older adult?
a. Inactivity b. Eating highly spiced foods c. Being overweight d. Mental illness
The nurse researcher has submitted a manuscript for publication to a research journal. Who should this nurse expect to make the final decision about whether or not the article will be published?
1. Subject experts selected by the editorial staff 2. Panel of expert colleagues 3. Editorial staff members 4. Journal editor