A client who had abdominal surgery 4 hours ago is receiving a continuous epidural infusion of an analgesic. Which of the following observations indicates the nurse should monitor the client closely?
A. Drowsy; drifts off to sleep before completing a sentence
B. Respirations = 18/minute
C. Drowsy; easily aroused
D. Pain rating 1-2/10
Ans: A. Drowsy; drifts off to sleep before completing a sentence
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The nurse is working with a client who is striving to meet the goal of psychiatric rehabilitation. The nurse knows the client is most likely to meet goals when:
1. Strengths and needs are acknowledged. 2. The nurse takes care of all the client's needs. 3. The client states he wants to go home. 4. The client wants family involved in recovery.
The OASIS was implemented to provide the format for a comprehensive assessment in the home health care setting. How is this assessment tool used? (Select all that apply.)
a. To improve the quality of care b. To improve the communication about the individual c. To serve as a guide for reimbursement d. To evaluate the level of patient disability
A patient arrives at the hospital and is not sure if she is in true labor. The nurse does an assessment and assures her she is in true labor because:
a. there is no dilatation. b. the contractions are in the fundus. c. the cervix has softened and effaced. d. the contractions are irregular.
Free radicals play a major role in the initiation and progression of which diseases?1
a. Cardiovascular diseases such as hypertension and ischemic heart disease b. Renal diseases such as acute tubular necrosis and glomerulonephritis c. Gastrointestinal diseases such as peptic ulcer disease and Crohn disease d. Muscular disease such as muscular dystrophy and fibromyalgia