A client on the postoperative nursing unit has a blood pressure of 156/98 mm Hg, pulse 140 beats/min, and respirations of 24 breaths/min. The client denies pain, has normal hemoglobin, hematocrit, and oxygen saturation, and shows no signs of infection
What should the nurse assess next?
a.
Cognitive status
b.
Family stress
c.
Nutrition status
d.
Psychosocial status
ANS: D
After ensuring the client's physiologic status is stable, these manifestations should lead the nurse to assess the client's psychosocial status. Anxiety especially can be demonstrated with elevations in vital signs. Cognitive and nutrition status are not related. Family stress is a component of psychosocial status.
You might also like to view...
The nurse utilizes syringes to administer parenteral medications. The following principles apply to handling and using a syringe: Standard Text: Select all that apply
1. The nurse handles the barrel, plunger handle, and the shaft of the plunger. 2. The nurse handles the barrel, plunger handle, and the tip of the syringe. 3. Standard hypodermic syringes are marked with unit designations. 4. u-100 syringes are used for insulin. 5. TB syringes hold 1 ml of solution.
The patient has just had an MRI ordered because a routine chest x-ray showed suspicious areas in the right lung. The physician suspects bronchogenic carcinoma. An MRI would most likely be order to assess for what in this patient?
A) Alveolar dysfunction B) Forced vital capacity C) Tidal volume D) Chest wall invasion
When caring for a client with progressive macular degeneration, which teaching measure is primary for client safety?
A) Patch the affected eye. B) Turn head side to side when walking. C) Avoid bending over. D) Avoid straining the eyes.
A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?
a. Intravenous administration mixed with 5% dextrose b. Intramuscular injection in the upper arm c. Intramuscular injection using the Z-track method d. Subcutaneous injection into the abdomen