The nurse is assessing a client at risk for shock. The client's systolic blood pressure is 20 mm Hg lower than baseline. Which intervention does the nurse perform first?
a. Increase the IV fluid rate.
b. Administer oxygen.
c. Notify the health care provider.
d. Place the client in high Fowler's position.
B
Administration of oxygen for any type of shock is appropriate to help reduce potential damage from tissue hypoxia. The other interventions should be completed after oxygen is administered.
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A preschool-age child is asked, "Why do trees have leaves?" Which response would be an example of animism?
a. "So I can have shade over my sandbox." b. "Because God made them that way." c. "To hide behind when they are scared." d. "For the squirrels to play in."
After describing the various models for nurse-managed health centers, the instructor determines that the student understand the information when they identify which organization structure as being partnered legally with a human services organization?
A) Academic nursing center B) Freestanding center C) Subsidiary center D) Affiliated center
A client diagnosed with insomnia, triggered by anxiety, is prescribed paroxetine (Paxil). When the client asks the nurse why an antidepressant has been prescribed, which response by the nurse is the most appropriate?
1. "Paxil is a sedative–hypnotic that will enhance sleep." 2. "There is a link between insomnia and anxiety. Many antidepressants that are effective for treating anxiety are also given to treat insomnia." 3. "Antidepressant medications are safer than other medications used to induce sleep." 4. "Antidepressants act immediately, allowing for faster relief from insomnia."
A new graduate licensed practical/vocational nurse is working in a rehabilitation center and is caring for an older adult client who is recovering from a stroke
The health care team consists of the licensed practical/vocational nurse, a clinical nurse specialist in geriatrics, a social worker, a physical therapist, and occupational therapist, a speech pathologist, a psychologist, and a rehabilitation physician. The nurse notes that the client stated she feels a little blue and wanted the drapes pulled and to be left alone. The client refuses to participate in rehab activities today. The client's family shared that they are worried about the costs of the rehab because the Medicare limit has been met. Which action is best? A) Contact the rehab physician about the recent changes and receive orders to help the client with her problems. B) Discuss all of the findings during the daily rounds with the entire team for a multidisciplinary approach. C) Discuss the financial concerns that the family has with the social worker, so the client and family can focus on rehab. D) Discuss the findings with the clinical nurse specialist and the psychologist because the client is exhibiting signs of depression, and intervention is needed right away.