The nurse is caring for a client who has had an anaphylactic event. Which priority question does the nurse ask to determine whether the client is experiencing distributive shock?
a. "Is your blood pressure higher than usual?"
b. "Are you having pain in your throat?"
c. "Have you been vomiting?"
d. "Are you usually this swollen?"
D
Anaphylaxis damages cells and causes release of large amounts of histamine and other inflam-matory chemicals. This results in massive blood vessel dilation and increased capillary leak, which manifests as swelling. The other clinical manifestations do not relate to anaphylaxis or distributive shock.
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The pediatric nurse performs a health assessment on a 9-year-old girl who weighs 23 kg and is 132 cm tall. How does the nurse document the patient's BMI?
A. 13.20 B. 13.82 C. 14.25 D. 14.68
A nurse is caring for a newly admitted client. The client is suffering an attack of cholecystitis. What type of diet would the nurse expect the physician to order for the client?
a. soft c. high fat, high protein b. full or clear liquid d. low fat
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A. Being surrounded by the right people, al-ways investing in their own strengths, and knowledgeable of their team's needs B. Knowing when to delegate, empowering self, and keeping followers at a distance C. Always changing vision, keeping culture chaotic, and favoring specific members of the team to maximize their loyalty D. Encouraging others to leave the organiza-tion, being sure one's own vision was known by all, and having multiple con-sultants to keep the team from being "sta-tus quo"
A home health nurse is teaching a patient about a new medication he will be starting in the morning. The patient lives with his son's family, including two spirited children less than 6 years old
The patient replies, "I just can't learn new information like I used to." The nurse will plan to: a. schedule the patient for daily visits for medication administration. b. provide privacy and minimize distractions and noise and try again. c. teach the patient's family members to give the medications. d. tell the patient it is not safe to take the medication independently.