You are caring for a patient who has developed pulmonary edema. What is a priority nursing action?
A) Lay the patient flat.
B) Notify the family of patient's critical state.
C) Stay with the patient.
D) Call the physician.
Ans: C
Feedback: Because the patient has an unstable condition, the nurse must remain with the patient.
You might also like to view...
Which of the following statements regarding pain and anxiety are true? (Select all that apply.)
a. Anxiety is a state marked by apprehension, agitation, autonomic arousal, and/or fearful withdrawal. b. Critically ill patients often experience anxiety, but they rarely experience pain. c. Pain and anxiety are often interrelated and may be difficult to differentiate because their physiological and behavioral manifestations are similar. d. Pain is defined by each patient; it is whatever the person experiencing the pain says it is.
A nurse assessing a client with an ostomy appliance documents the condition "prolapse" in the client chart and notifies the physician. Which of the following statements describes this condition?
A) The peristomal skin is excoriated or irritated because the appliance is cut too large. B) The system has leaks or poor adhesion leading to noticeable odor. C) The bag continues to come loose and become inverted. D) The stoma is protruding into the bag and may become twisted.
Peptic ulcer disease is treated primarily with
1. pharmacotherapy. 2. exercise. 3. a combination of lifestyle changes and pharmacotherapy. 4. diet.
Identify the mechanism through which lithium decreases nerve conduction.
A. Lithium interferes with nerve conduction, resulting in a decrease in the excitability of nerve tissue. B. Lithium blocks the reuptake of norepinephrine and serotonin back into the neuronal nerve endings. C. Lithium stimulates norepinephrine and dopamine receptors, which stimulate the release of norepinephrine and dopamine from nerve endings. D. None of the above are true.