The nurse has completed a set of vital signs on a patient at risk for shock. Which assessment finding is a potential sign of shock?
A) Elevated systolic blood pressure
B) Elevated mean arterial pressure
C) Shallow, rapid respirations
D) Bradycardia
Ans: C
Feedback: A symptom of shock is shallow, rapid respirations.
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A client in hospice care has received large doses of morphine but is still unable to sleep. The nurse should administer which of the following adjuvant drugs?
A) amitriptyline (Elavil) B) lisinopril (Zestril) C) meperidine (Demerol) D) acetaminophen (Tylenol)
A patient has not met goals on the care plan. The nurse assesses that the patient is in full agreement with the plan and has the motivation to carry it out. The diagnoses are supported by data, and the outcome statements are well written
The nurse concludes that a. delegated activities were not done correctly. b. the interventions did not help meet the goal. c. the patient is incapable of meeting the goal. d. there was not enough time for goals to be met.
A patient has a glomerular filtration rate of 55%. What should this value indicate to the nurse?
a. This is a normal value. b. The patient is in renal failure. c. The patient needs to be on a fluid restriction. d. The patient's other tests will be in the normal range.