A patient suffers from hypovolemic shock. What is the priority nursing diagnosis for the patient with hypovolemic shock?
A) Ineffective tissue perfusion
B) Activity intolerance
C) Social isolation
D) Impaired bowel elimination
A
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A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. What action should the nurse take in this situation?
A) Let the client go after signing a document stating he is going against medical advice. B) Restrain the client until his medical treatment is over. C) Call the physician and get his discharge paper signed. D) Warn the client that he may not be able to access health care again.
The nurse is preparing to admit an adolescent with bacterial meningitis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)
a. Fever b. Chills c. Headache d. Poor tone e. Drowsiness
The nurse teaching a parenting class would stress what information about adverse drug reactions?
1. Common drug effects seen in breast-feeding infants include diarrhea and irritability. 2. The concentration of drugs in breast milk is very high. 3. Effects on the infant can be very serious. 4. There is rarely any effect on the infant. 5. The concentration of drugs in breast milk is very low but may still result in adverse drug effects in an infant.
The nurse is preparing to perform a rapid assessment. Which should the nurse plan on including in the assessment? Select all that apply.
A. General appearance. B. Client identification. C. Speech for clarity. D. Facial expression. E. Vital signs.