List three priority problems related to the care of M.M. in his current situation
What will be an ideal response?
• PE and mismatch contributing to reduced oxygen–carbon dioxide gas exchange
• Hypoxemia and pain contributing to a breathing pattern that is ineffective
• Hemorrhage secondary to anticoagulant therapy, contributing to a risk for reduced tissue
perfusion
• Surgery, immobility, and less effective breathing pattern contributing to an increased infection risk
(pneumonia)
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The nurse is providing discharge instructions to a client diagnosed with an anxiety disorder. What will the nurse tell the client about the activity of the amino acid gamma-aminobutyric acid (GABA), benzodiazepines, and the effect on anxiety?
1. GABA is an inhibitory neurotransmitter. 2. GABA increases neuronal excitability. 3. GABA increases can be neurotoxic. 4. GABA is an excitatory neurotransmitter.
A patient with a history of BPH is admitted to the unit. The patient is taking multiple medications, including terazosin (Hytrin). During the evening rounds, the patient begins to complain of dizziness and nasal congestion
Upon assessment, the patient is somnolent and has a blood pressure of 101/42. The nurse is correct to suspect a. priapism. b. sinus infection. c. allergic reaction. d. adverse effects.
A client at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development and asks what organs might be affected at this point in the pregnancy. How should the nurse respond to this client?
1. "The brain is developing now and could be affected." 2. "Because you are in the second trimester, there is no danger." 3. "It's best to not worry about possible problems with your baby." 4. "The internal organs like the heart and lungs could be impacted."
Immunoglobulin E (IgE)–mediated anaphylactic shock occurs as a result of
a. direct activation of mast cells. b. laryngeal edema. c. an antigen entering on a repeat exposure, triggering a secondary immune response. d. the systemic inflammatory response.