A nurse is performing a focused assessment of the patient's cardiovascular system every 4 hours. The nurse correctly assesses which of the following? Select all that apply
1. Skin color, moisture, and temperature
2. Blood pressure
3. Use of accessory muscles
4. Strength and equality of peripheral pulses
5. Capillary refill of extremities
ANS: 1, 2, 3, 5
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A psychiatric nurse with 3 years of inpatient experience has been assigned to work in a medication
follow-up clinic beginning Monday. The clinic sees culturally diverse clients. To prepare for work in the clinic it would be advisable for the nurse to a. review the literature on cultural differences in client responses to psychotropic medications. b. read a handbook on the various health beliefs of members of diverse cultures. c. contact the clinical nurse specialist for guidelines for cultural competence. d. take a course in psychopharmacology.
You are working in the preoperative area with a client going to surgery for a cholecystectomy. The client has histamine2-receptor antagonists ordered preoperatively. The client asks you why these medications are needed
What would be your best answer? A) "These medications slow motor activity." B) "These medications decrease the amount of anesthesia you will need." C) "These medications decrease anxiety before surgery." D) "These medications decrease gastric acidity and volume."
The nurse anticipates that a patient experiencing neuropathic pain caused by lumbar disc herniation may be treated with:
A) Nonsteroidal anti-inflammatory drugs, which are specific for neuropathic pain B) Opioids for moderate pain C) Tramadol (Ultram) for mild pain D) Gabapentin (Neurontin), which is specific for neuropathic pain
The nurse is preparing to administer a barbiturate. Which conditions or disorders would be a contraindication to the use of these drugs?
(Select all that apply.) a. Gout b. Pregnancy c. Epilepsy d. Severe chronic obstructive pulmonary disease e. Severe liver disease f. Diabetes mellitus