Thirty minutes later the UaP reports S.K.'s vital signs are 90/64, 118, 8, 97.6 ° F (36.4 ° C), and Spo2
84% on
room air.
What is your immediate concern and why?
What will be an ideal response?
Your immediate concern is that S.K. is experiencing respiratory depression related to the
administration of the IV meperidine. Without immediate treatment, she could experience respiratory
arrest.
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One of the most effective methods for preventing venous stasis is to:
a. wear elastic stockings in the afternoon. b. sleep with the foot of the bed elevated. c. rest often with the feet elevated. d. sit with the legs crossed.
A 44 year old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?
A. Peripheral edema B. Tachycardia C. Low Blood Pressure D. Concentrated Urine
A novice nurse notices a patient is pacing the floor and twisting his hands
When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (Select all that apply.) a. Glaring at the nurse b. Nervousness, twisting of hands c. Murmuring when talking d. Diagnosis of a terminal illness e. Isolation, desire to be alone
All of the following are considered indicators of functional performance mechanisms EXCEPT
A. Health promotion B. Physical health C. Psychosocial health D. Physical mobility