A nurse is beginning to conduct a health history for a patient with respiratory problems. He notes that the patient is having respiratory distress. What would the nurse do next?
A) Continue with the health history, but more slowly.
B) Ask questions of the family instead of the patient.
C) Conduct the interview later and let the patient rest.
D) Initiate interventions to help relieve the symptoms.
D
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Adolescents who become chemically dependent progress through four stages. Place these stages in order of occurrence. (Separate letters by a comma and space as follows: A, B, C, D.)
A. Burnout B. Active seeking C. Preoccupation D. Experimentation
When a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles, the nurse's first priority is to:
a. raise the head of the bed. b. slow the infusion. c. turn the patient to the left side. d. notify the charge nurse.
The hospice nurse is making a home visit to a client with terminal cancer. The client reports poor pain control, and the client's spouse says, "I'm giving such big doses of medication,
I'm afraid she is going to overdose if I give her more." Which response by the nurse is the most appropriate? 1. "You're wise to be concerned. These are very strong medications you're administering." 2. "You want her to be comfortable but you don't want to endanger her life. Let's talk about the medication you're giving and warning signs you'll see if the dosage you're administering is too high." 3. "I hear what you're saying, but you're not giving enough pain medication, so she is in severe pain. You need to give more." 4. "You aren't giving adequate pain relief, and she is in severe pain as a result."
Which of the following should you do to minimize the amount of an ocular medication that is absorbed systemically?
1. Place the drops directly on the eyeball. 2. Try to put the drops under the upper lid. 3. Administer half the scheduled dose. 4. Apply pressure over the nasolacrimal duct during administration.