The nurse is called to the room of a patient who is receiving an intravenous antibiotic. The patient is flushed, anxious, and short of breath. First, the nurse should
1. Determine the patient's blood pressure.
2. Contact the physician.
3. Listen to the patient's breath sounds.
4. Stop the intravenous infusion.
ANS: 4
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A patient who has been pacing actively approaches the nurse and blurts out, "You've got to help me! Something terrible is happening. I'm falling apart. I can't think. I can't get my breath; I feel like I'm dying
What's happening to me?!" Which of the following nursing responses would be appropriate? Select all that apply. a. "You are having a panic episode; I will stay with you until it passes.". b. "It's almost visiting time. I'll help you get your hair combed.". c. "Watch me; I'll show you how to calm by slowing your breathing.". d. "Let's explore your anxiety. Tell me, what has been going on today?" e. "I'll get you some orange juice, and we'll walk together for awhile.". f. "Sometimes anxiety is due to fear. Do you know what you are afraid of?"
A client newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not provide enough variation of choice. Which response by the nurse is most appropriate?
A) "I will bring you a different menu." B) "I will ask my manager to talk with the dietician." C) "Let's look at your diet and see what type of variety we can find." D) "I will notify the dietary department to change your diet."
What advice should the nurse provide to a pregnant patient who admits to continuing to drink alcohol 1 to 2 times a week?
A) She should avoid alcohol in the first trimester. B) Alcohol should not be consumed during pregnancy. C) The affects of alcohol on the fetus are not fully understood. D) She may have an occasional drink after the first trimester.
A score of 52 on the Barthel Index indicates which of the following?
A) Patient has minimal dementia. B) Patient's respiratory effort is compromised. C) Patient has decreased ROM. D) Patient needs assistance with activities of daily living (ADLs).