A patient with esophageal varices is receiving potent vasoconstrictors to help prevent hemorrhage. The nurse will be concerned if the patient complains of pain in the:
a. chest.
b. flank area.
c. lower legs.
d. back.
A
With the use of potent vasoconstrictors such as vasopressin (Pitressin), which constricts all ves-sels, the possibility of it causing an MI is a very real concern.
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A 32-year-old woman is admitted to the unit with a diagnosis of hypovolemia. The nurse is developing a care plan for this patient. What is an appropriate nursing diagnosis to help prevent medication errors?
A) Dysfunctional gastrointestinal motility B) Ineffective self-health maintenance C) Risk for injury D) Deficient fluid volume
A nurse is preparing a sterile field in order to perform a dressing change for a client. Which of the following steps should the nurse take pouring a sterile solution into the dressing tray?
A) Shake the solution vigorously prior to use. B) Grasp the lip of the container when pouring. C) First pour and discard a small amount of the solution. D) Clean the lip of the container with a damp cloth.
A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a/an
a. diviner. b. shaman. c. herbalist. d. physician.
The nurse is caring for a patient who weighs 75 kg. The patient has intravenous (IV) fluids infusing at a rate of 50 mL/hour and has consumed 100 mL of fluids orally in the past 24 hours. Which action will the nurse take?
a. Contact the provider to ask about increasing the IV rate to 90 mL/hour. b. Discuss with the provider the need to increase the IV rate to 150 mL/hour. c. Encourage the patient to drink more water so the IV can be discontinued. d. Instruct the patient to drink 250 mL of water every 8 hours.