A client has developed distributive shock as a result of a brain injury. During the initial assessment, the nurse would expect to see which of the following vital sign results?
a. Heart rate 60 bpm
b. Blood pressure 92/58 mmHg
c. Temperature 102F
d. Respiratory rate 18/minute
c. Temperature 102F
rationale: Distributive shock refers to a condition in which a client is unable to adequately perfuse the organs and tissues. It is often caused by decreased intravascular volume, such as with hypovolemia, but it may also develop due to heart failure, severe vasodilation, or obstruction. Upon examination, the nurse would most likely expect to see a client with elevated temperature, tachycardia, hypotension (<90 systolic), and a rapid respiratory rate.
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A client tells the nurse that one result of his chronic stress is that he has considerable fatigue. He has
tried setting his alarm to give himself an extra 30 minutes of sleep each morning but feels no better. The nurse should suggest that a. "You may need to speak to your doctor about taking a sedative.". b. "Keep doing what you have started. It takes a while to develop new sleep habits.". c. "Try going to bed a half hour earlier than usual and getting up at your regular time.". d. "Waking up to music, rather than an alarm, is often helpful in promoting relaxation.".
The client with lymphoma asks his nurse why his disease treatment regimen includes radiation and surgery as well as chemotherapy, when his 16-year-old female cousin only had chemotherapy for leukemia. What is the nurse's best response?
A. "Radiation is not used as therapy in girls and women so as not to disrupt their childbearing ability." B. "Lymphomas can form discrete tumors that can be removed by surgery or treated locally with radiation, but leukemic cells are more widespread." C. "Your disease is probably more widespread and advanced than your cousin's was, requiring additional types of intensive therapy for cure." D. "Lymphomas can be cured using multiple therapies and leukemia cannot be cured, only controlled with lifelong injections of chemotherapy."
An intravenous pyelogram (IVP) uses a radiopaque ________ to visualize the kidneys, renal pelvis, ureters, and bladder.
Fill in the blank(s) with the appropriate word(s).
A female patient with osteoporosis comes to the ED after falling suddenly while opening her car door. She said it felt as though her "leg gave away" and caused her to fall. What type of fracture does this patient likely have?
a) Pathologic (spontaneous) b) Spiral c) Impacted d) Incomplete