The nurse is obtaining the history of a client with a sliding hernia. Which of the following symptoms would the nurse expect to see in this client? (Select all that apply.)
A. Reflux
B. Bleeding
C. Dysphagia
D. Belching
E. Breathlessness
F. Vomiting
A, C, D, E
Rationale: Clients with sliding hernias often experience symptoms of reflux, pain, dysphagia, and belching. Some clients may experience breathlessness or a feeling of suffocation.
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A nurse reads on a hospitalized client's chart that the client is receiving teletherapy. What action by the nurse is best?
a. Coordinate continuation of the therapy. b. Place the client on radiation precautions. c. No action by the nurse is needed at this time. d. Restrict visitors to only adults over age 18.
A child is being mechanically ventilated and is very agitated and fighting the ventilator despite receiving fentanyl citrate (Sublimaze) and midazolam (Versed). Which action by the nurse is the most appropriate?
A. Restrain the hands so child does not pull out the endotracheal tube. B. Request an order for vecuronium bromide (Norcuron). C. Slow the frequency and depth of mandatory ventilations. D. Tell the family that someone must stay at the bedside.
A confused and combative patient comes into the hospital complaining of "not feeling good." Upon assessment, the nurse notes these vital signs: BP–184/96, temperature–103.7° F, pulse–108/minute, and respirations–24/minute
Other findings include hallucinations and psy-chosis. The nurse recognizes these findings as consistent with which of the following drug over-doses? a. PCP b. Mescaline c. DMT d. LSD
Maintain slight pressure on the chest between each chest compression.
Answer the following statement true (T) or false (F)