A patient's CVP reading suddenly increased from 10 to 48 mm Hg. His lungs are clear except for fine rales at the bases. Immediate response should be which of the following?
a. Nothing; this reading is still within normal limits.
b. Place a stat call into the physician.
c. Administered ordered prn Lasix.
d. Check the transducer level.
D
If the transducer falls below the correct level, the reading would be falsely elevated. This rise is consistent with a transducer having fallen from the correct level on the bed to the floor. Lasix is not indicated. Central venous pressure (CVP) of 45 mm Hg, if true, is severely elevated. Not enough information has been provided to call the physician. If the CVP value is true and the patient's condition is poor, a call to the physician would be appropriate after assessment.
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The stresses of providing care for people who are ill have created a need for a nursing student to relax. Which of the following techniques should the student choose in order to manage stress?
A) Avoid talking about school or clinical when at home. B) Take time to do physical activity of some kind each day. C) Schedule enough time for watching television and having two or three alcoholic drinks each evening. D) Try to socialize with nursing instructors outside of school and clinical.
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results?
A) Another EIA test B) Viral load test C) Western blot test D) CD4/CD8 ratio
Orem believes there are two types of human beings. Those are those who need nursing care and those who produce it
Indicate whether this statement is true or false.
Which preventative strategies should the nurse include in a teaching session for a mother whose infant is at risk for febrile seizures? Select all that apply
1. Increasing oral intake of fluids 2. Administering dose-appropriate aspirin 3. Providing a sponge bath with cold water 4. Decreasing oral fluid intake 5. Patting the child dry after a tepid bath