The nurse is assisting the health care provider insert a central line for the client. During the procedure, the client reports sudden shortness of breath and the client's SpO2 falls to 88% on room air. Which actions will the nurse take? Select all that apply.
A. Place the client in the left side-lying position.
B. Lower the client's head of the bed.
C. Raise the client's head of the bed.
D. Apply 100% oxygen via mask.
E. Prepare for intubation and mechanical ventilation.
Answer: A
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A patient with myoclonic seizures has been prescribed clonazepam as an adjunctive treatment by his neurologist. What teaching point should the nurse prioritize when explaining this new drug regimen to the patient?
A) "You might find that you'll feel somewhat agitated for the first few days that you take this drug." B) "Make sure you don't stop taking this abruptly because that might bring on a seizure." C) "You'll have to come to the hospital's outpatient clinic twice a week to have this administered intravenously." D) "We will need to monitor your blood sugars quite closely while you're taking this drug."
The nurse caring for a client admitted with a diagnosis of suspected lung cancer might expect to find which of the following on assessment?
A) hemoptysis B) night sweats C) dysphagia D) cyanosis
The nurse is assessing a client who has received trauma to the face. If the client states, "My gums feel like they do when I have a cavity filled," which nursing action would the nurse expect to include in the plan of care?
1. Preparing the client for surgery 2. Calling the client's dentist 3. Preparing equipment for intubation 4. Keeping ice packs available for the next 24 hours
A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nurse makes which statement to the client's physician?
A) "The family must be involved in this decision." B) "Let's educate the family about the consequences of this decision." C) "The client is making his own decision." D) "The client would benefit from additional information about treatment options."