A client has just undergone a balloon valvuloplasty. What complication of this procedure should the nurse monitor this client for?
A. Bleeding
B. Acute tubular necrosis
C. Short-term memory loss
D. Pulmonary hypertension
A
Clients undergoing valvuloplasty are at higher risk of bleeding from the catheter insertion site because of the use of a large-bore catheter for the arterial puncture needed to perform the proce-dure. The nurse institutes precautions for arterial puncture, if necessary.
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A nurse suspects that a client receiving naloxone is experiencing an adverse reaction when the assessment reveals which of the following?
A) Bradycardia B) Dry, flushed skin C) Tremors D) Diarrhea
Dan is going to a stress management program. His physician has told him he needs to learn how to better manage his stress levels
a. Discuss some of the techniques Dan will learn in this program.
The nurse has delegated administration of tube feeding to a specially trained UAP. What action should be taken by the nurse in regard to this delegation?
A) Set up the equipment and mix the feeding. B) Regulate the rate of the feeding. C) Order the equipment to give the feeding. D) Check the tube for placement.
You are going to feed a resident. You need to do which of the following?
a. Say a prayer for the person. b. Sit behind the person. c. Engage the person in pleasant conversa-tion. d. Offer fluids after the meal.