The nurse is caring for a client diagnosed with pneumonia who was placed on a cardiorespiratory monitor. Vital signs are recorded from the monitor in order to allow the client to remain undisturbed during the night
The nurse observes that the blood pressure, heart rate, and respirations are 20% below baseline. The nurse concludes which of the following? 1. The client is about to have a cardiac arrest.
2. The client is in stage 2 of NREM sleep.
3. The client's metabolic rate has increased.
4. The client is in stage 4 of NREM sleep.
4
Rationale: During stage 4 sleep, the client is relaxed, and vital signs decrease from baseline by 20-30 percent. Stage 2 sleep is characterized by light sleep with vital signs decreasing slightly. The client's metabolic rate is decreased in stage 4. A decrease in vital signs is normal during stage 4 sleep, and the client is not at risk for cardiac arrest.
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Which of the following actions would public health professionals want to use as primary prevention against widespread community violence? (Select all that apply.)
a. Women seen in emergency departments should be asked about abuse b. Courses for prisoners about avoiding violence and resolving conflict c. Classes on parenting and supportive follow-up for new parents d. Courses on anger management and conflict resolution e. Community media campaigns to decrease acceptance of violence f. Home visits to elderly clients should include screening for elder abuse
A nurse sees another nurse changing an intravenous (IV) solution because the wrong solution is infusing into the client. The nurse who changed the IV solution does not report the error. What should the nurse who observed the error do first?
A. Call the client's health care provider B. Document the error in the client's chart C. Report the nurse who changed the IV solution D. Ask the nurse whether she intends to report the error
Parasympathetic nerves release acetylcholine to ________.
A. increase the activities of the AV node and the SA node B. drastically increase the activities of the myocardium and the Purkinje fibers C. decrease the activities of the SA node and the AV node D. drastically decrease the activities of the SA node and the myocardium
During an assessment, the nurse notes that a patient has crystals deposited on the skin. What should this finding indicate to the nurse?
a. Gout b. Uremic frost c. Poor hygiene d. Metabolic alkalosis ___