A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later the client complains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The IV bag has 100 mL remaining. Which action should the nurse take first?
A. Remove the IV
B. Sit the client up in bed
C. Shut off the IV infusion
D. Slow the rate of infusion
Answer: C. Shut off the IV infusion
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A 17-year-old patient is admitted with a new onset of seizures and is diagnosed with epilepsy. Which of the following would the nurse include in the patient teaching?
a. Aspirin can inhibit the action of anticonvulsants. b. Anticonvulsants must be taken frequently during the day to prevent seizures. c. Sudden withdrawal of anticonvulsants can lead to status epilepticus. d. When the seizures have been controlled, the medications can be discontinued.
If a peripheral pulse needs to be assessed quickly, the nurse should select the:
a. radial pulse. b. brachial pulse. c. carotid pulse. d. pedal pulse.
A patient tells the nurse that his eyes "aren't working right." When the nurse asks what the patient means, the patient states, "It is like one eye is moving faster than the other
" What test would be most appropriate for the nurse to use to assess this patient? A) Cover B) Kinetic confrontation C) Cardinal fields D) Static confrontation
Which is a datum from a quantitative study of the labor and delivery experiences of women over age 40?
A) Length of time in labor B) 107 ounces C) Infant's Apgar score D) Vaginal versus cesarean delivery