Which of the following is a common cause of postoperative hypertension?
a. Administration of morphine c. Bladder distention
b. Fluid overload d. Tachycardia
B
Most commonly, postoperative hypertension is related to fluid overload, heightened sympathetic nervous system activity, or pre-existing hypertension. Postoperative hypertension, even as a transient episode, may have significant cardiovascular and intracranial consequences, and therefore aggressive diagnosis and treatment are indicated.
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A patient who is being cared for in the intensive care unit (ICU) is receiving desmopressin. In light of the black box warning that accompanies this drug, the ICU nurse should prioritize the assessment of which of the patient's laboratory values?
A) Hematocrit B) Platelets C) Sodium D) Calcium
For a client admitted to the PACU with an oral airway in place, the nursing intervention that would be inappropriate is
a. allowing the client to spit out the airway. b. removing the airway when the client becomes responsive. c. suctioning the client's secretions as needed. d. taping the airway in place so it does not fall out.
NAP Z has just received his assignments for the shift. One of his assignments is to reinforce teaching provided by the last shift for Patient Q regarding a diabetic diet
Is this task delegated correctly and to which of the Five Rights of Delegation does it pertain? a. Yes. NAP Z has 10 years of experience and has worked with patient Q for the past year during frequent hospital admissions. They have built a trusting relationship (under the right circumstances). b. No. While the NAP is experienced in this area and may be able to do this, too much supervision will be required and this may not be the time for this activity (right time). c. Yes. NAP Z is a diabetic himself and he is familiar with diabetic diets; therefore it is fine for him to only reinforce this type of teaching (right directions and communication). d. No. Teaching cannot be delegated to a NAP (right task).
A patient with a history of assaulting several family members is voluntarily admitted for alcohol detoxification
A nurse suggests use of physical restraints to minimize the risk to the milieu and to manage the patient's anticipated aggressive behavior. The primary principle guiding the manager's response is: a. the right to the least restrictive measure of restriction possible. b. that legal considerations exist when physical restraints are used. c. the limitations for the use of physical restraints on voluntarily admitted patients. d. that thorough documentation is needed whenever physical restraints are applied.