The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air, and an oral temperature of 96.8° F
Which intervention is most important for the nurse to include in the patient's plan of care? a. Administration of atropine sulfate (Atropine)
b. Application of 100% oxygen via facemask
c. Application of slow rewarming measures
d. Infusion of IV phenylephrine (Neo-Synephrine)
C
Hypothermia can develop in neurogenic shock from uncontrolled heat loss; therefore, a patient should be rewarmed slowly to avoid further vasodilation. In shock, a drop in systolic blood pressure to less than 90 mm Hg is considered hypotensive. Atropine is used for symptomatic bradycardia. The patient's oxygen saturation is 95% on room air with an adequate respiratory rate. The application of 100% oxygen via facemask is not indicated. The patient's heart rate is adequate to support a normal blood pressure.
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The patient with hypothyroidism takes levothyroxine daily and has triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) levels drawn in the laboratory to check appropriateness of prescribed dosage
What results would the nurse analyze as indicating the need for a higher dosage of medication? A) Elevated TSH, elevated T3, and reduced T4 levels B) Reduced TSH, elevated T3 and T4 levels C) Elevated TSH, reduced T3 and T4 levels D) Reduced TSH, T3, and T4 levels
One of the limitations of survey research is that the approach lends itself to the collection of only objective facts
A) True B) False
After being discharged from the hospital after undergoing cardiothoracic surgery, the client asks the nurse when he can resume sexual activity. What is the best response by the nurse?
A) "I can't believe you are worried about that so soon after your surgery." B) "You won't be able to resume sexual activity until your 6-month checkup with the surgeon." C) "In about 2 to 4 weeks if you are able to climb stairs without difficulty breathing or chest pain." D) "You may have a difficult time resuming sexual activities after this surgery."
The following information is recorded in the health history: “Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.” Which category does it belong to?
A) Chief complaint B) Present illness C) Personal and social history D) Review of systems