The patient arrived at the emergency department in pain and bleeding profusely with the following vital signs: BP 80/54, P 102, RR 22. What does the nurse recognize that these symptoms indicate?
a. Inadequate perfusion
b. Circulatory shock
c. Massive vasodilation
d. Heart failure
ANS: B
Shock results from failure of the circulatory system to provide sufficient blood circulation.
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Which process(es) does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply.)
a. Maturation b. Reproduction c. Stress response d. Sexual identity e. Growth
The nurse in an outpatient clinic notes that a client with a persistent nagging cough has come in for treatment after hearing about the seven signs of cancer on the television show Oprah
Identify the statement by the nurse that best reinforces this client's understanding of the warning signs of cancer. a. All the signs have to be present in order to detect cancer. b. Other signs to look for include indiges-tion, difficulty swallowing, and changes in the size or shape of a mole. c. If you develop persistent nausea, skin rash, or acute pain, you are at high risk for having a cancer. d. The warning signs you hear about are just to scare people who do not schedule reg-ular appointments into visiting the physi-cian.
The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What should the nurse do first?
1. Revise the nursing diagnosis. 2. Reassess the patient, looking for previously unknown stressors. 3. Rewrite the interventions used to address the problem. 4. Explore reasons why the outcome was not achieved.
Which cultural group is correctly matched with the disease process for which this group is most susceptible?
A. African Americans are susceptible to lactose intolerance. B. Western European Americans are susceptible to malaria. C. Arab Americans are susceptible to sickle cell disease. D. Jewish Americans are susceptible to thalassemia.