The nurse responds to a ventilator pressure alarm by going to the patient's room. What should be the nurse's first action?
1. Turn off the ventilator alarm to help calm the patient.
2. Administer intravenous sedation according to prn prescription.
3. Assess for the cause of the alarm.
4. Manually bag the patient until the cause of the alarm is detected.
Answer: 3
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A baseball player was hit in the head with a bat during practice. In the emergency department, the physician tells the family that he has a "coup" injury
How will the nurse explain this to the family so they can understand? A) "It's like squeezing an orange so tight that the juice runs out of the top." B) "Your son has a huge laceration inside his brain where the bat hit his skull." C) "Your son has a contusion of the brain at the site where the bat hit his head." D) "When the bat hit his head, his neck jerked backward causing injury to the spine."
An older patient with peripheral neuropathy has been taking magnesium supplements. The nurse realizes that which symptoms indicate hypermagnesemia?
1. hypotension, warmth, and sweating 2. nausea and vomiting 3. hyperreflexia 4. excessive urination
The nurse assisting with a pelvic exam documents a positive Chadwick's sign when which of the following is/are noted?
A) softening of the cervix B) fetal heart tones C) softening of the lower uterine segment D) bluish-purple discoloration of the cervix and vagina
A client with varicose veins has recently undergone surgery. What point should the nurse include in the discharge teaching after venous stripping?
A) Place the legs down while sitting. B) Apply knee-high stockings. C) Do not cross legs for more than half an hour. D) Avoid sitting for a lengthy time.