The nurse should administer an analgesic to an unconscious patient after observing which signs? (Select all that apply.)
a. Increased heart rate from 82 to 94
b. Decreased systolic blood pressure
c. Increased muscle tension
d. Perspiration on upper lip
e. Facial grimacing
ANS: A, C, D, E
Pain indicators in the unconscious patient might include increased heart rate, blood pressure, and muscle tension; diaphoresis; and grimacing.
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A primary health care provider has prescribed a loop diuretic for a client with hypertension. The client also has diabetes mellitus. The nurse would assess the client for which of the following after administering the drug?
A) Sudden pain in the joints B) Increased blood glucose levels C) Occurrence of gout attacks D) Sudden increase in weight
Which client is most likely to have osteoporosis?
a. A 50-year-old client on estrogen therapy b. A 55-year-old client with a sedentary lifestyle c. A 65-year-old client who walks 2 miles each day d. A 60-year-old client who takes supplemental calcium
What information should the nurse provide for the patient with a newly created Kock ileostomy (continent ileostomy)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The stoma will be reversed when the bowels have had the time to heal. 2. Fecal matter will be removed by a catheter inserted through the stoma. 3. A nipple valve was created to control the flow of fecal matter. 4. The stoma should appear pink and moist. 5. The surgery involved manipulating a portion of the terminal ileum.
Sodium bicarbonate and potassium chloride are examples of drugs that are prescribed in milliequivalents,
a unit of measure based on the chemical combining power of the substance. Indicate whether the statement is true or false