A nurse assesses a client who is recovering from a myocardial infarction. The client's pulmonary artery pressure reading is 25/12 mm Hg. Which action should the nurse take first?
a. Compare the results with previous pulmonary artery pressure readings.
b. Increase the intravenous fluid rate because these readings are low.
c. Immediately notify the health care provider of the elevated pressures.
d. Document the finding in the client's chart as the only action.
ANS: A
Normal pulmonary artery pressures range from 15 to 26 mm Hg for systolic and from 5 to 15 mm Hg for diastolic. Although this client's readings are within normal limits, the nurse needs to assess any trends that may indicate a need for medical treatment to prevent complications. There is no need to increase intravenous fluids or notify the provider.
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a. Recommend an antidepressant. b. Help him plan exercise and rest. c. Plan two or three naps every day. d. Tell him the fatigue is due to his OA.
In order for the vocational nursing student to attain licensure, the NCLEX-PN® must be passed with a score that is:
a. 70% or better. b. defined and set by each state. c. designated as "pass." d. within the 75th percentile.
A nurse in a wellness center is presenting a class on integrating holistic therapies with traditional health care The nurse talks about the trend in health care to treat each patient in a manner that reconnects his or her total being. Which of the following would best be considered a holistic approach to health?
A) Physical, emotional, and spiritual well-being B) Emotional and sexual contact C) Healthy work environment D) Financial success and post-secondary education
A document that gives a patient instructions about future medical care or that designates another person(s) to make medical decisions if the individual loses decision-making capacity is known as an ________________
Fill in the blank(s) with correct word