A student nurse is assisting with the care of a 50-year-old man who is being treated in the emergency department for hypothermia. The student asks the charge nurse why the patient is having his heart monitored
The nurse's best explanation would be that the heart is being moni-tored because serious arrhythmias can be caused by: a. rapidly rising blood pressure from infusing IV fluids.
b. adrenal output of epinephrine in response to cold stress.
c. lactic acid being shunted from pooled blood in the extremities.
d. vasodilation from the warming process.
C
Lactic acid in the blood that was pooled in the extremities while being exposed to cold will shunt back to the heart through systemic perfusion as the warming process becomes effective. The lac-tic acid can cause arrhythmias.
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When a nurse realizes that a medication error has occurred, the nurse should take which of the following steps? (Select all that apply.)
a. Immediately check the patient and determine if the error poses a risk to the patient's condition. If so, notify the physician immediately. b. Try to find someone to blame for the error. c. Notify the nursing supervisor. d. Analyze how and why the error occurred, and how it might be avoided in the future. e. Record in the patient's chart exactly what happened and fill out any other required (incident/medication error) reports.
The nurse teaches clients with acquired immune deficiency syndrome (AIDS) about the importance of taking their medications as prescribed. What does the nurse recognize as the primary factors for medication nonadherence in the AIDS population?
Standard Text: Select all that apply. 1. The difficulty with availability of medications to treat AIDS 2. A lack of understanding for the reason to take medications 3. The necessity of having to take multiple medications throughout the day 4. The unpleasant side effects associated with the medications 5. Provider unwillingness to follow established protocols.
Hypertension is
A) high blood pressure. B) low blood pressure. C) normal blood pressure. D) absence of blood pressure.
Which medication is used to produce miosis following a diagnostic procedure?
a. Pilocarpine (Pilocar) b. Mannitol (Osmitrol) c. Atropine (Isopto Atropine) d. Epinephrine (EpiPen)