The nurse is assessing a client who is in early stages of hypovolemic shock. Which manifestations does the nurse expect? (Select all that apply.)
a. Elevated heart rate
b. Elevated diastolic blood pressure
c. Decreased body temperature
d. Elevated respiratory rate
e. Decreased pulse rate
A, B, D
Heart and respiratory rates increased from the client's baseline level and a slight increase in di-astolic blood pressure may be the only objective manifestations of this early stage of shock.
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A nurse is describing the action of thyroid hormones to a client. The nurse would include information that thyroid hormones are principally concerned with the increase in the metabolic rate of tissues that can result in which of the following?
Select all that apply. A) Increased heart rate B) Decreased respiratory rate C) Increased body temperature D) Increased cardiac output E) Decreased oxygen consumption
The patient has been placed on a calcium compound regimen for its use as a phosphate-binding drug. He should be instructed to report which adverse effect of the drug to his health care pro-vider?
a. Diarrhea b. Constipation c. Urinary retention d. Hematuria
A nurse elects to assist the patient with guided imagery during dressing changes. Which question best helps the nurse design this experience?
1. "Have you ever been to the beach?" 2. "What was your favorite vacation?" 3. "How bad is your pain during your dressing changes?" 4. "How good is your imagination?"
You have an order to administer a medication according to the client's weight in kilograms (kg). The client's weight this morning was 154 pounds (lb). You would calculate the medication dosage after determining that this client weighs _____ kg
1. 70 2. 76 3. 80 4. 85