A nurse is caring for a patient hemorrhaging from a peptic ulcer when the patient complains of a sharp sudden pain and has a rapidly deteriorating condition. What is the best first action of the nurse?
a. Roll the patient flat and assess the vital signs.
b. Notify the charge nurse.
c. Suction the mouth.
d. Prepare for intravenous infusions.
A
With a rapidly deteriorating patient, the nurse should collect all the information that will need to be reported, such as vital signs, patient condition, and subjective complaints.
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The nurse is assisting with data collection for a quality assurance study to monitor correct technique when exiting an airborne isolation room. The nurse commends which of the following staff for performing proper technique?
1. The respiratory therapist removes mask, gown, and then gloves. 2. The housekeeper removes gloves, mask, then gown. 3. The physician removes gloves, then gown, and unties the top string of the mask, allowing it to hang around his neck. 4. The nurse removes gloves, washes hands, then removes gown and mask.
The nurse working in a physician's office admits a 15-year-old boy brought to the office because he has noted swelling around the neck and shoulders and reports night sweats and weight loss. The nurse suspects a diagnosis of:
1. Hodgkin's lymphoma. 2. Tuberculosis. 3. HIV/AIDS. 4. Strep throat.
Families should have the option to be at the bedside when CPR is being administered
A) True B) False
The nurse is preparing to assess the reflexes of a 5-month-old infant. Which reflexes should the nurse anticipate to document? Select all that apply.
A. Stepping. B. Palmar grasp. C. Babinski. D. Rooting. E. Tonic neck.