What is the first sign of hypovolemic shock from postpartum hemorrhage?
a. Cold, clammy skin
b. Tachycardia
c. Hypotension
d. Decreased urinary output
ANS: B
Tachycardia is usually the first sign of inadequate blood volume.
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A patient with a concussion is evaluated in the emergency department and sent home. The family is instructed to awaken the patient from sleep hourly and assess neurologic function for the next 48 hours. What is the best rationale for this strategy?
A) Prevents additional damage to the brain B) Dangerous deterioration can occur over 48 hours C) Very deep sleep can result in respiratory arrest D) Frequent reorientation to reality assists recovery
Which drug does not have a recommended pediatric dose?
A) Pimozide (Orap) B) Lithium salts (Lithotabs) C) Haloperidol (Haldol) D) Risperidone (Risperdal)
The nurse is positioning a patient at risk for development of a pressure ulcer. Which potential pressure point(s) does the nurse relieve by assisting the patient to a side-lying position?
a. Symphysis pubis b. Ischial tuberosities c. Greater trochanters d. Occipital prominence
After discharge from the PACU, the client returned to the surgical nursing unit at 10:00 A.M. It is now 11:30 A.M. and the client is not experiencing any complications or difficulties
How often should the nurse plan to measure the client's vital signs? a. Every 15 minutes b. Every 30 minutes c. Every hour d. Every four hours