Your patient is a? 39-year-old male with a history of alcoholism. He is? unresponsive, with? cool, clammy skin and a? weak, rapid pulse of 108. BP? = 128/92, RR? = 12 and regular. Your partner manages the airway and assists? ventilations, but you are unable to start an IV after three attempts. Which of the following is most appropriate at this? point?
Answer : Glucagon, 1.0 mg, and thiamine, 100 mg, both IM
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The results of a Rinne test show bone conduction is greater than air conduction. Which of the following would be most appropriate?
A) Complete a full hearing assessment B) Generate a nursing diagnosis so interventions may be initiated C) Write an initial plan of care and evaluate the results in 24-hours D) Refer the client for further evaluation
The nurse is caring for a 10-year-old child who is sleeping when the menu choices for dinner are brought to the room. The nurse plans which intervention?
1. Order a meal that most children like. 2. Wake the child to ask for preferences. 3. Ask the dietary worker to come back later. 4. Ask the parents to bring dinner from home.
Nancy and Bill Jones are concerned that Bill's father may be developing depression. In questioning the couple, which of the following statements would support their concern?
A) "Bill's father has been crying off and on now for over 2 weeks since his wife died. He's also still having trouble sleeping." B) "Bill's father is agitated and anxious; he's been that way for a month now since his wife died." C) "It's been over 2 months now since his wife died and Bill's father keeps crying; he can't eat, and he can't sleep." D) Bill's Mom's funeral was last week, and Bill's Dad hasn't been able to eat or sleep since then."
The nurse is assessing a postpartum client who is 36 hours post delivery. Which findings cause the nurse to suspect a reproductive tract infection? Select all that apply
1. Temperature of 38.0°C (100.4°F) or higher 2. Foul-smelling lochia 3. Uterine tenderness 4. Leg edema and erythema 5. Breast engorgement