A nurse is caring for a patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient?
A) Tachycardia and hypotension
B) Bradycardia and hypertension
C) Tachycardia and hypertension
D) Bradycardia and hypotension
Ans: B
Feedback: Autonomic dysreflexia is characterized by a pounding headache, profuse sweating, nasal congestion, piloerection ("goose bumps"), bradycardia, and hypertension. It occurs in cord lesions above T6 after spinal shock has resolved. This makes options A, C, and D incorrect.
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The nurse is reviewing morning lab work for a client with dysrhythmias and notes a digoxin level of 0.5 ng/mL. Which nursing action is correct?
A) Hold the 9 AM digoxin dose and notify the physician. B) Administer the 9 AM digoxin dose and notify the physician. C) Administer the 9 AM digoxin; no physician notification is required. D) Administer the 9 AM digoxin dose and repeat lab work after 1 hour.
What professional value defined in the Essentials document is being violated when a nurse who
works long hours demonstrates apathetic behavior toward patients? A) Social justice B) Altruism C) Human dignity D) Autonomy
A patient is to continue taking sustained-released benzodiazepines at home. A nurse has provided patient education about the medication. Which statement made by the patient demonstrates the need for further teaching?
a. "I can take my medicine with food to reduce stomach upset." b. "I should take two pills if I miss a dose." c. "I should not crush or chew my pills." d. "I should try not to drive if I am sleepy during the day."
What guides professional practice?
A) ANA Standards of Nursing Practice B) National Institutes of Health publications C) Nursing Intervention Classification D) Risk Appraisal Index