The nurse is assessing a patient who has been in shock. One common sign that the nurse will find is:
1. skin that is cool and dry, with cyanotic nail beds.
2. skin that is cool and moist with cyanotic nail beds.
3. reddened nail beds and moist, warm skin.
4. redness of nail beds with warm, dry skin.
2
Lack of adequate perfusion of tissues pools venous blood in the extremities of the fingers and makes the skin cool and moist from lack of oxygen and waste exchanges.
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A bystander was killed during a robbery 2 weeks ago. His widow, who has schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response
a. "Are you hearing voices at night?" b. "I am worried about how much you are crying. Your grief over your husband's death has gone on too long.". c. "This loss is harder to accept because of your mental illness. I will refer you to a partial hospitalization program.". d. "The unexpected death of your husband must be very painful. I am glad you are able to talk to me about your feelings.".
The patient is scheduled for a cystogram via a cystoscope. Which is the best explanation of this procedure by the nurse?
a. "Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray film." b. "Your doctor will inject a dye into a vein in your arm that is carried to the urinary system. Then a lighted tube in your bladder is used to see when the dye appears." c. "Your doctor will insert a lighted tube into the bladder and inject a dye into your kidneys through little catheters inserted into the ureters." d. "Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys."
The nurse is caring for a client who just returned from a trip requiring an airline flight. The client commented on how his ears hurt upon descent. The nurse is correct in stating which site as being the pressure equalizer in the ear?
A) Eustachian tube B) Auricle C) Tympanic membrane D) Labyrinth
DRG is an abbreviation for diagnosis-related group
Indicate whether the statement is true or false