A client with a spinal cord injury suddenly complains of a pounding headache. The nurse quickly assesses the client and notes that the client is diaphoretic, that his blood pressure has increased, and that his heart rate has slowed. Suspecting that the client is experiencing autonomic dysreflexia, the nurse elevates the head of the client's bed and immediately:
A. Documents the event
B. Notifies the healthcare provider
C. Checks the client's bladder for distention
D. Checks to see whether the client has a prescription for an antihypertensive
Ans: C. Checks the client's bladder for distention
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The nurse knows the following indicates orthostatic hypotension: (Select all that apply.)
a. A decrease in systolic blood pressure by 30 mm Hg b. A decrease in diastolic blood pressure by 10 mm Hg c. An increase in heart rate by 30 beats/min d. An increase in systolic blood pressure by 20 mm Hg
The nurse manager reviews the salaries for the orthopedic technicians who are responsible for setting up traction for the orthopedic clients
The nurse manager explains to her technicians their position does not contribute to the charges the client incurs. This is referred to as the: 1. Fixed cost. 2. Variable cost. 3. Indirect cost. 4. Direct cost.
The nurse describes the pathophysiologic process of an asthma attack. Place the events in their proper sequence. (Separate letters by a comma and space as follows: A, B, C, D)
a. Inflammatory process in the mast cells of the lungs b. Increase in edema and mucus production in the bronchioles c. Release of histamine d. Narrowing of the airways e. Exposure to allergen
When using electronic (or computerized) documentation, which process should the nurse use to ensure that no one alters the information the nurse has entered?
a. Charting in code b. Logging off c. Charting in privacy d. Signing on with a password