The patient was admitted to the emergency department after being injured in a drive-by shooting. Despite very serious injuries, the patient is awake and alert and cries continuously that "someone tried to kill me." The nurse tries to calm the patient because of which catecholamine effects?
1. Increased heart rate
2. Increased blood pressure
3. Constriction of coronary vessels
4. Constriction of blood vessels in skeletal muscles
5. Increase in blood glucose
1, 2, 5
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A patient was the unrestrained driver of a car that was struck head on by another vehicle. During initial assessment, the nurse observes another nurse using supraorbital pressure to assess for response. What nursing intervention is indicated?
1. Hold the patient's head still so that the test will be valid. 2. Stop the procedure. 3. Ask the nurse to repeat the procedure on the other orbit. 4. Document the response as 1+, 2+, 3+, or 4+.
Teaching for a patient who is to be discharged on a maintenance dose of lithium should emphasize the importance of
a. keeping appointments for serum lithium level testing. b. engaging in daily cardiotonic exercise. c. reporting anticholinergic side effects. d. maintaining a tyramine-free diet.
The nurse completes care for the patient on droplet precautions. Which procedure does the nurse implement to prevent transmitting the pathogen to other people?
a. Removes gloves and mask at the bedside and gown in hallway b. Removes all personal protective equipment (PPE) in the soiled utility room c. Removes gloves first, gown second, and mask third in the patient's doorway d. Removes mask first, gloves second, and gown third outside the patient's room
When using heat or cold, the nursing assistant should remember which of the following safety precautions?
A) Follow instructions of your immediate supervisor. B) Keep the patient comfortable. C) Check the skin frequently. D) all of the above