A patient receiving dobutamine (Dobutrex) at 180 mcg/min is having all of the following physiologic responses. Which response indicates that the drip rate may be too high?
a. Systolic blood pressure increase from 106 to 122 mm Hg
b. Hourly urine output of 100 mL
c. Facial flushing
d. Chest pain
ANS: D
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The nurse is admitting a patient to the unit with a diagnosis of ataxia-telangiectasia for clinical manifestations of the disorder. A clinical manifestation of ataxia-telangiectasia is ataxia
The nurse would recognize that the patient is exhibiting ataxia when she assesses the presence of what? A) Peripheral edema B) Uncoordinated muscle movement C) Vascular lesions caused by dilated blood vessels D) A condition marked by development of urticaria
Your patient's spouse died recently from a sudden illness after 45 years of marriage
The patient was the primary caregiver for the spouse during this time. The patient is now depressed and withdrawn and has verbalized feelings of uselessness. Which action by the nurse is best? a. Encourage the patient take up a hobby that will occupy some time. b. Explain that volunteering would be an excellent way to stay useful. c. Assure the patient that these feelings of sadness will pass with time. d. Ask the patient to share some cherished memories of the spouse.
Slowly removing some amniotic fluid is a treatment for hydramnios. What consequence can occur with the withdrawal of fluid?
1. Preterm labor 2. Prolapsed cord 3. Preeclampsia 4. Placenta previa
The client had diminished wheezing in both lungs after receiving emergency treatment for an acute asthma attack. When utilizing focus charting, in which section should the nurse document this information?
1. Data (D) 2. Action (A) 3. Response (R) 4. Planning (P)