When taking the blood pressure of a very ill client, the nurse observes that the client's hand undergoes flexion contractions. What is the nurse's primary intervention?
A. Placing the client in a high Fowler's position and administering intravenous fluids
B. Deflating the blood pressure cuff and administer oxygen
C. Documenting the finding as the only action
D. Notifying the health care provider
Ans: B. Deflating the blood pressure cuff and administer oxygen
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You are admitting a patient to your rehabilitation unit who has a diagnosis of persistent, severe pain. According to the patient's history, the patient's pain has not responded to conventional approaches to pain management
What treatment would you expect might be tried with this patient? A) Intravenous analgesia B) Long-term intrathecal or epidural catheter C) Oral analgesia D) Intramuscular analgesia
The nurse wishes to enhance growth in her client by showing positive regard. The action consistent
with this desire is a. administering daily medication as prescribed. b. making rounds according to the daily assignment. c. staying with the client when the client cries. d. taking a group of clients for a walk.
Sodium nitroprusside differs from other arterial vasodilators in that it can:
a. produce bicarbonate retention. b. produce more reflex tachycardia. c. produce venous dilation. d. cause orthostatic hypotension.
Nurses can help parents deal with the issue and fact of circumcision if they explain:
a. The pros and cons of the procedure during the prenatal period. b. That the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised. c. That circumcision is rarely painful and any discomfort can be managed without medication. d. That the infant will likely be alert and hungry shortly after the procedure.