The patient has experienced a significant drop in hemoglobin levels and is slightly tachycardic. The pulse oximetry value is 100% and arterial blood gas values are normal
What is the most important adverse physiologic effect that the nurse would expect?
A) Polycythemia
B) Diminished blood pressure
C) Hyperalertness and hyperreflexia
D) Diminished tissue oxygenation
D
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Which neurological assessment is particularly important when assessing the patient who is comatose?
a. graphesthesia, stereognosis, and two-point discrimination b. doll's eyes, Babinski reflex, and corneal reflex c. proprioceptive sensation and cerebellar function d. superficial pain and light touch
The nurse is collecting evidence of sexual assault from a female patient. What should the nurse do with damp clothing?
1. Place the clothing in a plastic bag and document the time it was collected. 2. Drape the clothing over a chair in the room and give it to law enforcement officers when they arrive. 3. Allow the clothing to dry, place it in a paper bag, and label it appropriately. 4. Secure the clothing on a wire hanger and label it appropriately.
Monitoring for a pregnant woman who has had a urinary tract infection is:
1. Symptom resolution in 48 hours 2. Follow-up urine culture at completion of therapy 3. "Test of cure" urinary analysis at completion of therapy 4. Follow-up urine culture every 2 weeks until delivery
The nurse caring for a 9-month-old child with bronchiolitis assesses diminished breath sounds in the right lower lobe. The nurse understands that this finding is most likely due to:
a. Immaturity of the respiratory tree b. Bronchial spasm from coughing c. Obstruction of the bronchioles d. Pneumonia