A patient weighing 70 kg lost approximately 3,500 mL of blood in a traumatic incident. What signs and symptoms does the nurse expect to find?
A) Vital signs within normal range due to compensation
B) Skin warm and dry with capillary refill less than 3 seconds
C) Alert and oriented to person, place, time, and bodily relationships
D) Peripheral cyanosis, cool skin, diaphoresis, and weak thready pulse
D
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A woman arrives at the ICU after being the victim of a terrorist attack in a nearby shopping center involving a gas that spewed from a metal canister
The woman complains of a burning sensation in her eyes, mouth, and throat, and the nurse observes blistering on her face and arms. What chemical agent should the nurse suspect, and what intervention should she implement? A) Vesicant agent; apply lotion B) Nerve agent; administer benzodiazepine C) Vesicant agent; soap and water blot D) Nerve agent; provide ventilatory support
A postpartum woman who had a cesarean birth complains of warmth and pain in one of her calves. Which assessment should the nurse perform as the priority?
A. Bilateral calf circumference B. Homans' sign on both legs C. Lung sounds and oxygen saturation D. Pedal and popliteal pulses
The nurse explains that soluble fibers such as pectin are used by the body for (select all that apply):
1. stool softeners. 2. absorption blockers. 3. bulk. 4. speeding transit time. 5. source of vitamin D.
A child has been diagnosed with group A beta-hemolytic streptococcus (GABHS) infection of the throat. The nurse should teach the parents to:
1. Complete the entire course of antibiotics. 2. Keep the child NPO. 3. Continue normal activities. 4. Not allow the child to gargle with salt water.