Signs of hypovolemia in the trauma patient include
a. distended neck veins. c. bounding radial and pedal pulses.
b. a decreased level of consciousness. d. a widening pulse pressure.
B
Signs of underperfusion include flattened neck veins, a decreased level of consciousness, weak and thready peripheral pulses, and a narrowed pulse pressure.
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A patient with Bell's palsy asks the nurse why she has to wear an eye shield at night. What would be the nurse's best response?
A) "A patient with Bell's palsy often can't close the eye, which causes insomnia." B) "A patient with Bell's palsy needs an eye shield at night to prevent injury to the eye." C) "A patient with Bell's palsy can't blink, so the eye shield keeps the eye moist." D) "A patient with Bell's palsy needs extra coverage for their eye."
After the cast on a client's fractured ulna has been changed to a bivalve cast, the nurse will alter the approach to care by
a. omitting vascular checks to the extremity. b. preventing pinching the extremity between the two halves. c. taking off both halves of the cast when x-ray films are ordered. d. taping the halves together with paper tape.
The nurse knows which evaluation best represents that the client has learned a new skill?
a. The client states understanding and passes a written test. b. The client organizes materials needed and gives return demonstration. c. The client verbalizes items needed and how to perform skill. d. The client nods when asked about process and assists with clean up.
The nurse is reviewing the medication list and appropriate dose adjustments made for a patient with CKD. The nurse would question the use and/or dosage adjustment of which type of medication?
a. Antibiotics b. Magnesium antacids c. Oral antidiabetics d. Opioids