A nurse walks into a patient's room and finds him having difficulty breathing and complaining of chest pain. He has bradycardia and hypotension. What should the nurse do next?
A) Take vital signs again in 15 to 30 minutes.
B) Document the data and report it later.
C) Ask the patient if he is anxious or afraid.
D) Report findings to the physician immediately.
D
You might also like to view...
A limitation of the Katz Index of activities of daily living (ADLs) is that:
a. completion of the tool requires the joint efforts of the interdisciplinary team. b. all ADLs are weighted equally. c. it puts a heavier weight on the cognitive abilities necessary to perform ADLs. d. it provides a range of performance for each task.
While performing an examination for rebound tenderness on a client with upper right quadrant abdominal pain, the nurse notes a positive Blumberg's sign. What action should the nurse take?
A. Document this normal finding. B. Report this finding to the health care provider. C. Immediately follow with auscultation to detect bowel obstruction. D. Repeat the maneuver with the client in a supine position with the knees flexed.
Which of the following statements by a client indicates the client is at risk for undernutrition? (Select all that apply.)
1. "I have been so sad and lonely since my wife died.". 2. "I've been taking chemotherapy for lung cancer.". 3. "Each day, I take two doses of multivitamins instead of one.". 4. "My dentures don't fit well anymore.". 5. "I feel like there are sometimes I cannot stop eating.".
Nurses who work in a skilled nursing facility need nursing expertise in which of the following areas? (Select all that apply.)
a. Gerontological nursing b. IV fluid management c. Ventilator management d. Depression/violent behavior management e. Wound care management