When a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles, the nurse's first priority is to:
a. raise the head of the bed.
b. slow the infusion.
c. turn the patient to the left side.
d. notify the charge nurse.
B
When signs of circulatory overload are observed, the infusion is slowed down initially, then the nurse should notify the charge nurse.
You might also like to view...
The critical care nurse is unable to read a physician's writing. From prior experience, the nurse knows that this physician is likely to express anger and use inappropriate language when called with questions about his orders
What does this situation illustrate about the development of excellence in critical care nursing? A) A common stumbling block for nurses is inappropriate and abusive treatment by others. B) Part of the development of excellence is mastery of skilled communication under stress. C) Physicians are not part of the development of excellence in critical care nursing practice. D) This situation demonstrates the need to adhere to protocols and not the development of excellence.
The nurse would assess that the client with a "major burn" is
a. 60 years old with a 20% burn. b. 32 years old with a 14 % burn. c. 18 years old with an 18% burn. d. 10 years old with a 15% burn.
Concerning breathing techniques during labor, maternity nurses should be aware that:
1. breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to lesson friction. 2. by the time labor has begun, it is too late for instruction in breathing and relaxa-tion. 3. controlled breathing techniques are most difficult near the end of the second stage of labor. 4. the patterned-paced breathing technique can help prevent hyperventilation.
Neuman defined ________ broadly as "all internal and external factors or influences surrounding the identified client or client system
A. Ecosystem B. Environment C. Wellness D. Nursing