The nurse is working with a client with a spinal cord injury and an indwelling urinary catheter. Maintaining patency of the catheter is critical to avoid autonomic dysreflexia from an extended bladder
The nurse is alerted to this complication if the client experiences: A. Pallor
B. Skin dryness
C. Hypotension
D. Bradycardia
D
D. Client with a spinal cord transection experiences the following symptoms: blood pressure (BP) elevated to 200 mm Hg systolic, bradycardia, headache, flushing and sweating above the spinal level of the injury. Spinal cord–injured (SCI) clients run the risk of autonomic dysreflexia (hyperreflexia) when exposed to a noxious stimulus such as a full bladder.
A, B, and C. These are indicators of possible dehydration.
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The nurse is caring for a young child with both parents in attendance. According to Carter and McGoldrick's model of family development, a developmental task that would occur in families with young children would be:
a. developing financial independence. b. establishing and maintaining a household. c. developing and committing to a new family unit. d. reinvest in couple identity
The nurse is reviewing the medication list of a patient with impaired wound healing. Which medication would be of concern to the nurse?
A) NPH insulin B) Prednisone C) Cefazolin D) Vitamin C
A health care provider prescribes risperidone (Risperdal), PO, 2 mg, twice a day, for a child with schizophrenia. The medication label states: "Risperidone (Risperdal) oral concentrate, 1 mg/1 ml." The nurse prepares to administer one dose
How many milliliters should the nurse prepare to administer one dose? Fill in the blank. Record your answer as a whole number.
A newborn has just been delivered. Which of the following is your first action?
A) Wipe moisture off of the baby. B) Discuss findings with the mother. C) Wrap the infant in a blanket. D) Assess the airway; repeat suction if necessary.