The nurse is completing a postoperative assessment on a pt in the post-anesthesia recovery unit. Which VS requires further assessment by the nurse for the possible hypovolemic (low blood volume) shock?
a. An increase in HR
b. An increased temp. reading
c. A decrease in BP
d. A decrease in RR
a. An increase in HR
You might also like to view...
The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates:
a. Pinworms. b. Chickenpox. c. Constipation. d. Bacterial infection.
The home care nurse is using OASIS information to evaluate outcome measurements for client care. Which data should the nurse use for this evaluation?
1. Client's Braden Skin Assessment score is 12. 2. Client has a stage 2 pressure ulcer on the sacrum. 3. Client admission paperwork completed within 24 hours. 4. Client self-administers insulin and changes foot wound dressing independently.
Cysteine, proline, isoleucine, valine, tryptophan, phenylalanine, methionine, and histidine are all classified as _____
Fill in the blank(s) with correct word
A client's spouse reports that the last time the client received lorazepam (Ativan) before receiving chemotherapy, the client was extremely drowsy and didn't remember the trip home. Which is the nurse's best action?
a. Hold the dose of lorazepam for this round of chemotherapy. b. Explain that this is a normal response to the drug. c. Perform a Mini-Mental State Examination. d. Document the response in the client's chart.