A patient with a history of muscular dystrophy is in the immediate post-anesthesia period and begins to experience muscle rigidity, hypercarbia, tachycardia, sweating, and labile blood pressure. What vital sign should the nurse assess first?

A) Temperature
B) Apical pulse
C) Respiratory rate
D) Pulse pressure


A

Nursing

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A nurse is caring for a 6-year-old patient after surgery. The child has an order for meperidine (Demerol) 1.8 mg/kg IM every 3 to 4 hour as needed for pain. The child weighs 30 kg and the meperidine is available as 50 mg/mL

How many mL will the nurse administer per dose? A) 1 mL B) 1.8 mL C) 0.8 mL D) 1.08 mL

Nursing

The student nurse is becoming familiar with Healthy People 2020 goals related to rehabilitation. The student nurse demonstrates an understanding of the goals when identifying which of the fol-lowing as goals? (Select all that apply.)

a. Increase the proportion of adults with disabilities who participate in social activ-ities. b. Increase the proportion of adults with disabilities who report satisfaction with life. c. Increase the proportion of people with disabilities who report not having the as-sistive devices and technology needed. d. Reduce the proportion of adults with dis-abilities who report feelings such as sad-ness, unhappiness, or depression that pre-vent them from being active. e. Reduce the proportion of people with disabilities who report environmental bar-riers to participation in home, school, work, or community activities.

Nursing

A teenage boy is taking tretinoin (Retin-A) for acne. Which statement will the nurse include in the teaching plan?

a. "Avoid foods that are heavy in salt and oils." b. "This drug may cause increased redness of your skin." c. "Try using an abrasive cleanser to remove old skin layers." d. "Being out in the sunlight will help your skin heal."

Nursing

After being stained with crystal violet, how will a gram-positive gonococcus react?

a. Fluoresce after counterstain is applied. b. Accept the counterstain. c. Retain the original stain after the coun-terstain is applied. d. Turn dark after the counterstain is applied.

Nursing