A mechanically ventilated patient receiving a neuromuscular-blocking drug has tearing in the eyes & increased heart rate & blood pressure. The nurse interprets that the
A. patient is having an adverse reaction to the medication.
B. patient's level of sedation is inadequate.
C. patient's dose of the neuromuscular-blocking drug is insufficient.
D. patient's response to the drug is appropriate.
Answer: B. patient's level of sedation is inadequate.
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The nurse is caring for a patient who is under arrest for murder. She is attempting to perform her duties while, at the same time, feeling a sense of repugnance toward the patient. The nurse is undergoing:
a. value clarification b. value conflict c. first-order beliefs d. higher-order beliefs
A nurse assesses a patient's dorsalis pedis pulse. The pulse feels full and springlike even under moderate pressure. How should the nurse document this finding?
a. Weak pulse b. Normal pulse c. Thready pulse d. Bounding pulse
Income level and social networks are examples of:
a. Culture b. Development c. Community d. Determinants
Which nursing intervention would the nurse implement to decrease the risk of a surgical client developing thrombophlebitis?
1. Administer an anticoagulant 2. Cough every 2 hours 3. Intake and output every 2 hours 4. Early ambulation