The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal?
(Select all that apply.)
a. Agitation
b. Drowsiness
c. Tremors
d. Systolic blood pressure higher than 200 mm Hg
e. Temperature over 100° F (37.7° C)
f. Pulse rate 110 beats/min
ANS: A, C, D
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A) The presence of leg shortening B) The patient's complaints of pain C) Signs of neurovascular compromise D) The presence of internal or external rotation
A patient was admitted to the critical care unit several weeks ago with an acute myocardial infarction and subsequently underwent coronary artery bypass grafting surgery
Since a cardiac arrest 5 days ago, the patient has been unresponsive. An electroencephalogram shows no meaningful brain activity. After a family conference, the physician orders a DNR order, and palliative care is begun. This means a. the patient will continue to receive the same aggressive treatment short of resuscitation if he has another cardiac arrest. b. all treatment will be stopped, and the patient will be allowed to die. c. all attempts will be made to keep the patient comfortable without prolonging his life. d. the patient will be immediately transferred to hospice.
The nurse is caring for a child with a possible diagnosis of cystic fibrosis. Which laboratory/diagnostic tools would likely be used to help determine the diagnosis of this child?
A) Purified protein derivative test B) Sweat sodium chloride test C) Blood culture and sensitivity D) Pulmonary functions test
Nursing interventions may be categorized based upon the degree of nursing autonomy. Which of the following nursing interventions is considered as physician- or prescriber-initiated?
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