The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain?
a. Blood pressure 160/82 mm Hg
b. Temperature 100.6°F
c. Heart rate 80 beats/min
d. Oxygen saturation 95%
ANS: A
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A nurse is preparing to administer gentamicin (Garamycin), IV, to a hospitalized child. Before administering the medication, the nurse checks the drug trough level, which is 13 µg/mL. Which action by the nurse is the priority for this child?
A. Administer the medication. B. Document the findings. C. Have the laboratory re-run the specimen. D. Notify the health-care provider.
The nurse is interviewing the client. Which of the following may lead to communication breakdown between the nurse and client? Standard Text: Select all that apply
1. The client is a Native American and the nurse is of Northern European descent. 2. During the interview, the nurse is trying to remember what the healthcare provider asked her to do earlier in the day. 3. The young nurse creates an informal atmosphere to discuss safe sexual practices with a teenaged client. 4. The young nurse uses a serious and respectful tone to discuss erectile dysfunction with an older client. 5. The nurse states, "So, you experience pain with micturation.".
In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus (SLE), what statements should the nurse include? (Select all that apply.)
a. "You should use a moisturizer with a sun protection factor (SPF) of 30." b. "You should avoid pregnancy because this can cause a flare-up." c. "You should not receive any immunizations in the future." d. "You may need to be on a low-protein, high-carbohydrate diet." e. "You should expect to lose weight while taking steroids." f. "You may need to modify your daily recreational activities."
A patient with erosive esophagitis is taking lansoprazole (Prevacid). The primary care NP performs a medication history and learns that the patient also takes digoxin. The NP should recommend:
a. decreasing the dose of digoxin. b. obtaining a serum digoxin level. c. changing the PPI to omeprazole. d. increasing the dose of lansoprazole.