A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurses best priority first action?
a. Monitor the patient for effects of anesthetic for at least 1 hour
b. Closely monitor vital signs and pulse oximetry readings until the patient is responsive
c. Administer oxygen as ordered, monitoring pulse oximetry
d. Maintain an open airway through positioning and suction if needed
Answer: d. Maintain an open airway through positioning and suction if needed
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The school nurse receives phone calls from several parents reporting that their children have lice. All of the children are in the same classroom. The nurse's priority action is to:
1. Assess all of the children in the classroom, and send notes home with all children in the school advising parents to check their children for lice. 2. Send all of the children in that class home with notes asking parents to take them to their pediatrician. 3. Isolate the children in that classroom and keep them from the cafeteria, gymnasium, or anyplace where they will come in contact with others. 4. Require all students in the school to wear surgical caps until the outbreak of lice is contained.
In the following clinical question, what is the Population (P component): Do stress and depression affect dyspnea in patients with chronic obstructive pulmonary disease (COPD)?
A) Patients who are stressed B) Patients who are depressed C) Patients who experience dyspnea D) Patients with COPD
The nurse is caring for a newborn whose mother is HIV positive. The nurse would expect to administer a 6-week course of which medication?
A) Lopinavir B) Ritonavir C) Nevirapine D) Zidovudine
An older patient is surprised to learn of the diagnosis of rheumatoid arthritis. What can the nurse explain to the patient about this disorder? Standard Text: Select all that apply
1. Antibodies form against the person's own IgG. 2. The onset of the disorder is slower in older adults. 3. It is a delayed hypersensitivity response to an antigen. 4. There can be abnormalities in both B and T immunity cells. 5. Inflammatory process is stimulated by T cells and destroys articular cartilage.