What must the nurse monitor when titrating intravenous nitroglycerin for a client? (Select all that apply.)
a. Continuous oxygen saturation
b. Continuous blood pressures
c. Hourly ECGs
d. Presence of chest pain
e. Serum nitroglycerin levels
f. Visual acuity
Answer:
b. Continuous blood pressures
d. Presence of chest pain
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A nurse caring for a nine-year-old notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation
Based on these physical findings, the nurse would be most concerned with assessing: 1. Skin integrity, especially in the lower extremities. 2. Level of consciousness. 3. Urine output. 4. Range of motion and ankle mobility.
Which role is most likely to have a significant effect on the type of aging process experienced by the older adult?
a. Grandparent c. Friend b. Spouse d. Parent
The nurse determines that the client is physically incapable of maintaining personal hygiene. What is the most relevant nursing diagnosis for this client?
1. Disturbed body image 2. Impaired skin integrity 3. At risk for social isolation 4. Ineffective health maintenance
____________________ is a condition in which there is insufficient oxygen in the blood.
Fill in the blank(s) with the appropriate word(s).