Suddenly, M.R. begins to complain of nausea; as you hand him the emesis basin, he promptly vomits
coffee-ground emesis with specks of bright red blood. Vs remain stable.
What concerns do you have about the coffee-ground emesis?
What will be an ideal response?
Gastric bleeding. When bleeding occurs in the stomach, the hydrochloric acid denatures the proteins
in the blood, making it look like used coffee grounds.
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The nurse is caring for a gravida 5 in active labor. The membranes spontaneously rupture with a large amount of clear amniotic fluid. Which nursing action is most important to undertake at this time?
1. Assess the odor of the amniotic fluid. 2. Perform Leopold's maneuver. 3. Obtain an order for pain medication. 4. Complete a sterile vaginal exam.
A patient has been admitted to the pulmonary unit of the hospital with right lower lobe pneumonia and history of chronic obstructive pulmonary disease (COPD)
During the initial assessment the nurse notes that the patient has a respiration rate of 18 with retractions, tachycardia, and complains of dyspnea and dizziness. The nurse identifies that these are clinical signs of which condition? a. Paroxysmal nocturnal dyspnea b. Orthopnea c. Hemoptysis d. Hypoxia
A patient, preparing for patient-controlled analgesia for pain relief after a cesarean birth, asks if this is an effective way to control pain. What should the nurse respond to the patient?
A) "It is effective, but the amount of analgesic used will preclude breastfeeding.". B) "Every woman reacts differently to pain, so it would be impossible to predict.". C) "Not only is it effective but it also will reduce the amount of narcotic needed.". D) "Most women do not feel well enough after surgery to want control of their own pain relief.".
Which disorder has been identified as an occupational health risk for agricultural workers?
a. Stroke b. Heart disease c. Diabetes d. Cancer