The patient will be undergoing moderate intravenous (IV) sedation. The nurse needs to assess which of the following during the procedure? (Select all that apply.)
a. Airway compromise
b. Hemodynamic instability
c. Agitation
d. Combativeness
A, B, C, D
Patient risks during IV sedation include hypoventilation, airway compromise, hemodynamic instability, and/or altered levels of consciousness that include an overly depressed level of consciousness or agitation and combativeness. Emergency equipment appropriate for the patient's age and size and staff with skill in airway management, oxygen delivery, and use of resuscitation equipment are essential. During and after the procedure, patients need continuous monitoring of vital signs, oxygen saturation, heart rhythm, lung sounds, and level of consciousness.
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Intracranial pressure (ICP) greater than ____________________ mm Hg is considered above normal and necessitates further investigation
Fill in the blank with the appropriate word.
A client has an autonomous neurogenic bladder. The nurse plans care for this client understand-ing that the client
a. cannot perceive bladder fullness or initiate or maintain urination. b. feels no bladder-filling sensation but empties the bladder reflexively. c. feels the sensation of the bladder filling but cannot initiate micturition. d. has a temporary problem with initiating micturition.
Which symptom should a nurse identify that would differentiate clients diagnosed with neurocognitive disorders from clients with pseudodementia (depression)?
A. Altered sleep B. Impaired attention and concentration C. Altered task performance D. Impaired psychomotor activity
A client is admitted to the healthcare facility with diabetes insipidus. Based on this information, what would the nurse anticipate as the best value of urinary specific gravity in such a case?
A) 1.005 B) 1.010 C) 1.020 D) 1.030