The spouse of a patient in neurogenic shock asks what is happening to the patient. How should the nurse response to the spouse?
a. "This is because of an allergic reaction."
b. "There is a drop in circulating blood volume."
c. "The heart has failed to pump blood throughout the body."
d. "The blood vessels have dilated and lowered the blood pressure."
ANS: D
Neurogenic shock is a form of distributive shock in which massive vasodilation of the peripheral circulation occurs, causing hypotension. A. B. C. Neurogenic shock is not caused by an allergic reaction, drop in circulating blood volume, or heart failure.
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A nurse administers methylergonovine (Methergine) to a patient immediately after delivery of a normal, healthy baby boy. The nurse will advise her that she may experience which of the following common adverse effects of the drug?
A) Tingling of the extremities B) Numbness C) An increase in blood pressure D) Diarrhea
The nurse is assessing the patient and notices that his oral cavity is only slightly moist and contains a scant amount of thick saliva even though the patient's fluid intake has been sufficient
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MC An inmate has threatened suicide and is put at a level-three observation. This is
A. Observation every 5 to 15 minutes with placement in a safe room. B. Observation every 30 minutes awake or asleep. C. Continuous observation. D. Observation every 10 minutes while the inmate is awake and every 30 minutes while asleep.
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a. Documentation of the relief of pain b. Providing for alternative pain medications c. Prescribing the correct dosage of pain medication d. Documentation of the frequency of medi-cation administration