A client who collapsed during dinner in a restaurant arrives in the emergency department. The client is going to surgery to repair an abdominal aortic aneurysm. What medication does the nurse prepare to administer as a priority for this client?
a. Hydroxyzine (Atarax)
b. Lorazepam (Ativan)
c. Metoclopramide (Reglan)
d. Morphine sulfate
ANS: C
Reglan increases gastric emptying, an important issue for this client who was eating just prior to the operation. The other drugs are appropriate for any surgical client.
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A 74-year-old man is being assessed by a nurse as part of a weekly, basic health assessment at the long-term care facility where he resides
His blood pressure at the time is 148/97 mm Hg, with a consequent pulse pressure of 51 mm Hg. The nurse would recognize that which of the following is the most significant determinant of the resident's pulse pressure? A) Blood volume, resistance, and flow B) The cardiac reserve or possible increase in cardiac output over normal resting level C) The amount of blood that his heart ejects from the left ventricle during each beat D) The relationship between total blood volume and resting heart rate
The nurse is performing a focused interview with a client who has been cleaning the ears with a cotton-tipped applicator
The nurse should educate the client about which of the following complications that can occur as a result of this practice? Standard Text: Select all that apply. 1. The client has a higher risk of developing otitis externa. 2. The client has a higher risk of developing tophi along the outer rim of the ears. 3. The client could perforate the tympanic membrane. 4. The client could require tympanostomy tubes. 5. The client's cerumen might become impacted.
A nurse teaching a patient about the effects and side effects of the prescribed medication bases the plan on the knowledge that learning is more effective when:
a. patients are actively included in the process. b. topics are introduced only when the patient expresses an interest. c. nurses establish realistic goals for learning on behalf of the patient. d. patients have responsibility for directing the teaching-learning process.
The nurse is advocating for the most effective and comprehensive treatment plan for a man with bipolar disorder
He is being held in the forensic unit of the hospital because he has been convicted of theft. Recognizing that many factors influence the patient's treatment and health maintenance after discharge, the nurse should plan to do which of the following? A) Request that a personality profile be performed to better understand the patient's behavior. B) Contact family members on a regular basis to discuss their experiences related to the patient. C) Take the patient's comprehensive health history on admission. D) Refer aftercare planning to the patient's parole officer.