A client is being treated in the hospital for hypovolemia related to a bleeding peptic ulcer. The nurse obtains a blood pressure reading of 88/62 mm Hg, heart rate of 112 beats/minute, and a respiratory rate of 24 breaths/minute
What is the first action by the nurse? A) Administer blood.
B) Notify the physician.
C) Insert two large-bore intravenous catheters.
D) Administer a colloid solution.
B
Feedback:
A systolic blood pressure below 90 mm Hg and heart rate above 100 beats/minute should be reported immediately. Administering blood, inserting two large-bore IV catheters, and administration of a colloid solution should be performed only with a physician's order and may not be required at this time.
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A patient's declining cardiac status has been attributed to decreased cardiac action potential. Interventions will be aimed at restoring what aspect of cardiac physiology?
A) The cycle of depolarization and repolarization B) The time it takes from the firing of the SA node to the contraction of the ventricles C) The time between the contraction of the atria and the contraction of the ventricles D) The cycle of the firing of the AV node and the contraction of the myocardium
A client admitted for hernioplasty is discharged 2 days later than the calculated time due to postoperative complications. The client is insured through a capitation scheme. In the event of late discharge of the client, who is at loss?
A) The client B) The hospital C) The insurers D) The physicians
A patient is receiving the first ultraviolet light therapy treatment for psoriasis. What should the nurse include in this patient's teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The skin will appear red after the treatment. 2. The patient will have one treatment a week for 6 months. 3. Clearing of lesions may take 7 weeks or more. 4. This is the treatment of choice for patients with psoriasis on 10% of the body. 5. A photosensitizing medication may be given before the treatment.
A young adult male asks the nurse about the recommended frequency of testicular self-exams. How should the nurse respond?
1. "The more frequently exams are performed, the more beneficial they are.". 2. "You should have been taught to self-examine starting at age 12.". 3. "Not all experts believe that testicular self-examination is necessary or beneficial for young men.". 4. "It is essential that you perform this exam each month.".