A nurse is assessing a patient who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would be likely?
A) bradycardia B) tachycardia C) dysrhythmia D) bigeminal
B
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A client is taking fluoxetine (Prozac) and wonders if adding St. John's wort would help. Knowing that St
John's wort acts similar to selective serotonin reuptake inhibitors (SSRIs), the nurse is concerned that by taking both, the client may develop: 1. Nothing since these substances do not interact. 2. Serotonin syndrome. 3. Mania. 4. Depression.
A very old, frail client's family is in a client-centered interdisciplinary conference guided by the nurse. Which are key issues that should be addressed? Select all that apply
A) client's wishes B) communications C) goals and outcomes D) identification of areas of conflict
A patient is recovering from a colonoscopy with removal of polyps. Which of the following should the nurse instruct this patient?
1. contact the physician with any rectal bleeding 2. rectal bleeding can occur up to one month after polyp removal 3. rectal bleeding can occur at any time and should not be a concern 4. rectal bleeding can occur up to a year after the polyps are removed
The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action?
a. Speak with the patient's family about food choices. b. Establish a bowel and bladder program for the patient. c. Speak with the patient about past elimination habits. d. Establish a bedtime ritual for the patient.