A nurse is caring for a patient who has a cervical spine injury and assesses progressive hypotension. What does this signify?
a. Anaphylaxis
b. Respiratory alkalosis
c. Multiple organ dysfunction syndrome (MODS)
d. Neurogenic shock
D
Gradually decreasing blood pressure in a person with a spinal injury is an indicator of neurogenic shock related to the parasympathetic stimulation, which causes generalized vasodilation.
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A 6-month-old girl weighs 14.7 pounds during a scheduled check-up. Her birth weight was 8 pounds. Which of the following is the priority nursing intervention?
A) Talking about solid food consumption B) Discouraging daily fruit juice intake C) Increasing the number of breastfeedings D) Discussing the child's feeding patterns
How might the social action approach be summarized?
A. A process of experts engaging in rational, deliberate problem solving B. A process of group meetings that take place until everyone reaches consensus C. Direct action to seek redistribution of power or basic change in organizational policies D. Groups working together to write several grants to get money for health care programs
A staff nurse on a psychiatric unit knows that clients often have trouble sleeping because of their psychiatric conditions. Which of the following reflects a psychiatric nursing intervention to appropriately address this problem?
A) Limiting amounts of evening snacks and beverages B) Involving clients in a volleyball game immediately before bedtime C) Enforcing the rule that all patients be in bed with lights out by 10:30 p.m. D) Encouraging clients to take short naps in the afternoons
On completing an assessment of a patient in the medical clinic, the nurse documents that the patient has dyspareunia. This is based on the patient's experience of which of the following symptoms?
a. Delay or absence of an orgasm b. Deficient or absent sexual desire c. Involuntary constriction of the vagina d. Genital pain during intercourse