During routine hemodialysis, the 68-year-old patient complains of nausea and dizziness. Which action should the nurse take first?

a. Slow down the rate of dialysis.
b. Check patient's blood pressure (BP).
c. Review the hematocrit (Hct) level.
d. Give prescribed PRN antiemetic drugs.


ANS: B
The patient's complaints of nausea and dizziness suggest hypotension, so the initial action should be to check the BP. The other actions may also be appropriate based on the blood pressure obtained.

Nursing

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The complexity of the healthcare environment for consumers is increased by:

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As an occupational health nurse at an oil refinery on the Gulf Coast of Texas, you are doing patient education with a man in his mid-40s. The patient is being seen after having been exposed to a chemical spill at the refinery

What type of stressor has this patient been exposed to? A) Physiologic B) Psychosocial C) Physical D) Psychiatric

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Indicate whether the statement is true or false

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A patient diagnosed with kidney injury is on fluid restriction. Which nursing interventions should the nurse add to the patient's plan of care?

1. Provide all fluid in the form of ice chips. 2. Provide frequent oral care. 3. Allow the patient to decide when the fluid will be ingested. 4. Provide fluids only when the patient complains of thirst. 5. Consider the amount of fluids that can be provided over a shift.

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