A patient is experiencing chest pain, shortness of breath, and lethargy. The patient's vital signs are BP 88/58, HR 40, RR 20. Which nursing action is a priority for this patient?
1. Nitroglycerin 1 tab sublingual
2. Aspirin 325 mg PO
3. Morphine 2 mg IVP
4. Atropine 1 mg IVP
4
Rationale 1: Even though the patient is having chest pain, the blood pressure is too low for nitroglycerin.
Rationale 2: There is not enough information to determine if the patient is experiencing a myocardial infarction. Oral medications should also be avoided at this time due to the decrease in level of consciousness.
Rationale 3: Even though the patient is having chest pain, the blood pressure is too low for morphine.
Rationale 4: The patient is actually having unstable bradycardia at this time and atropine would be the best medication to give this patient.
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The nurse admits a client scheduled for an EOG and explains the purpose of the test as which of the following?
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What is the overall objective of hospice service?
a. Relieve symptoms of terminal disease b. Educate the patient about the process of death c. Keep the patient comfortable as death approaches d. Relieve the family of the stress of death
Which of the following nurse statements is completed in the working phase of the nurse–client relationship?
A) "Tell me about your religious beliefs during this season of the year." B) "I will put a chair in the bathroom so you can begin personal care. I will return to assist you as needed." C) "I understand that you are feeling anxious about going home. Let me assess you before we talk." D) "Let's talk about a way to assist you to a standing position so you can walk in the hall."
A nurse observes the parent–child interaction during a 6-year-old's well child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse
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