You are working in the emergency department when M.B., a 72-year-old man, enters with a chief complaint of the inability to void. His initial vital signs (VS) are 168/92, 88, 20, 98.2° F (36.8° C)
Are M.B.'s VS appropriate for a man of his age? If not, offer a rationale for the abnormal
readings.
M.B.'s blood pressure is elevated, and his respirations are at the top range of normal. Both elevations
are probably caused by the pain response or anxiety about having to go to the hospital. Or, it is
possible that he might have hypertension; you need to ask during the assessment whether he has a
history of hypertension.
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A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patient's family is distraught and angry that she was not diagnosed earlier in the course of her disease
What factor contributes to the fact that gastric cancer is often detected at a later stage? A) Gastric cancer does not cause signs or symptoms until metastasis has occurred. B) Adherence to screening recommendations for gastric cancer is exceptionally low. C) Early symptoms of gastric cancer are usually attributed to constipation. D) The early symptoms of gastric cancer are usually not alarming or highly unusual.
A patient who has been prescribed prochlorperazine (Compazine) calls the clinic and reports pink-tinged urine. What is your best action?
a. Ask if the patient consumed grapefruit or grapefruit juice during the last 24 hours. b. Remind the patient to drink more water to prevent this drug from damaging the kidneys. c. Reassure the patient that this is an expected side effect of the drug and needs no action. d. Instruct the patient to hold the next drug dose and notify the prescriber immediately.
When overseeing discharge at the end of a patient's stay, a nurse appropriately recognizes that the discharge process includes which of the following? Select all that apply
1. Obtaining a discharge order from the patient's physician 2. Informing the patient's family if the patient is leaving against medical advice (AMA) 3. Documenting the patient's condition, including vital signs 4. Making sure that the patient has appropriate living conditions and will be properly cared for after discharge 5. Assisting the patient to the car or other transportation, if needed
An equipment sales representative made frequent visits to a skilled nursing facility. During his visits, he continually asked one of the married staff nurses out to eat. The married staff nurse kept refusing his offer
One less direct way the staff nurse can deal with the equipment sales representative is to: a. Provide him with a copy of the sexual harassment policy b. Notify the medical director c. Lodge a complaint with the equipment company d. Ignore the sales representative when he comes to the unit