What interventions do you need to perform for T.W.?
What will be an ideal response?
• Evaluate for and, if present, remove any noxious stimuli that are causing the AD.
• Call for help but stay with T.W.
• Raise the head of bed and dangle legs over the edge.
• Monitor VS every 5 minutes.
• Loosen clothing.
• If systolic blood pressure is over 150 mm Hg, administer antihypertensive medication as ordered.
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A client is scheduled for permanent pacemaker insertion. What instruction will this client need prior to discharge?
A) Dizziness is to be expected. B) There are no special precautions. C) Wear a tight-fitting shirt to help hold the pacemaker in place. D) Use battery-powered equipment.
A client has been administered dobutamine. The client is also receiving a beta-adrenergic blocking drug. The nurse would monitor the client for the development of which of the following resulting from the use of these two drugs?
A) Bradycardia B) Hypertension C) Depression D) Dehydration
A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?
a. Safety b. Timely c. Equitable d. Patient-centered care
The nurse would expect to see increased ventilations if a patient exhibits
a. Increased oxygen saturation. b. Decreased carbon dioxide levels. c. Decreased pH. d. Increased hemoglobin levels.