During a warm sitz bath, the client experiences systemic vasodilation. The nurse determined this by the client's demonstration of:
A. Lightheadedness
B. Increased blood pressure
C. Increased local discomfort
D. Redness and irritation at the wound site
A
A. Assess vital signs if client complains of dizziness or lightheadedness to determine if vascular response to vasodilation has occurred.
B. Vasodilation causes a drop in blood pressure.
C. Increased local discomfort is a local reaction, not a result of systemic vasodilation.
D. Redness and irritation at the wound site is a local reaction, not systemic vasodilation.
You might also like to view...
Before an amniocentesis, the nurse has the patient:
A) take a shower with an antiseptic scrub B) swallow her pre-op medication C) empty her bladder D) lie on her left side to sleep
The nurse is examining a 5-year-old boy. Which of the following would the nurse interpret as a reliable first indicator of respiratory illness in children?
A) Slow, irregular breathing B) A bluish tinge to the lips C) Lethargy and listlessness D) Rapid, shallow breathing
The nurse is teaching a couple about the pros and cons of genetic testing. Which of the following statements would best describe the limits of genetic testing?
A) "Various genetic tests help the physician choose appropriate treatments." B) "Genetic testing helps couples avoid having children with fatal diseases." C) "Genetic tests identify people at high risk for preventable conditions." D) "Some genetic tests can give a probability for developing a disorder."
The nurse is preparing to describe a location in the body in the documentation of an assessment. Which terminology should the nurse anticipate using?
A. Anatomic definition. B. Anatomic plane. C. Anatomic pathology. D. Anatomic alignment.