When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia, the initial intervention is to:

a. locate the cause of irritation.
b. assess the blood pressure.
c. cover the patient with several blankets.
d. raise the head of the bed to a high Fowler's position.


D
Raising the head of the bed will reduce the blood pressure. Finding the cause of the episode is secondary to preventing the possibility of a stroke from the hypertension.

Nursing

You might also like to view...

The daughter of an older hospitalized patient tells a nurse: "I am worried about my father. His memory is sharper when he is at home. He is forgetful, but is functional. Since he has been hos-pitalized his memory problems are much worse."

The best response by the nurse is: a. "It is common for long-term memory to be more impacted by age-related changes than short-term memory." b. "Memory changes are often worse when an individual is in an unfamiliar or stress-ful situation." c. "Perhaps you are just noticing your fa-ther's memory loss now that he is hospi-talized." d. "There is a lot of new information for your father to process here in the hospital; he is overloaded."

Nursing

A person is receiving treatment for dementia. Which of the following medications is most effective when treatment is begun in the early stages?

A) Haloperidol (Haldol) B) Donepexil (Aricept) C) Selegiline (Eldepryl) D) Risperidone (Risperdal)

Nursing

The nurse explains that, when the target tissue signals that the need for a specific hormone is satisfied, the endocrine gland inhibits the secretion. This process is called _____________

Fill in the blank(s) with correct word

Nursing

Isotonic exercise involves:

a. muscle shortening and active contraction/relaxation of muscles b. muscle contraction without shortening. c. muscle contraction with resistance. d. exercise using mechanical devices, such ascontinuous passive range-of-movement (CPM) machines.

Nursing