A nurse from the ICU receives a report from the ED nurse on a patient that includes a diagnosis of syncope unknown etiology. Orthostatic VS lying: 110/80 mm/Hg; sitting: 100/74 mm/Hg; standing: 92/40 mm/Hg
Based on this information, the nurse should monitor the patient's a. breathing. c. peripheral pulses.
b. dietary intake. d. activity.
D
Postural (orthostatic) hypotension occurs when the systolic blood pressure drops by 10 to 20 mm Hg or the diastolic blood pressure drops by 5 mm Hg after a change from the supine posture to the upright posture. This is usually accompanied by dizziness, lightheadedness, or syncope. If a patient experiences these symptoms, it is important to complete a full set of postural vital signs before increasing the patient's activity level.
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The major cause of sore nipples in breastfeeding mothers is:
a. improper placement of the baby's mouth on the breast. b. allowing the infant to nurse too long. c. breastfeeding too frequently. d. not breastfeeding often enough to empty the breasts.
Although some subjectivity is inescapable in performance appraisals, what action can the manager take to arrive at a more fair and accurate assessment?
A) Written anecdotal notes regarding the employee's performance should be maintained throughout the evaluation period. B) Evaluation criteria that reflect on the employee as a person rather than just on work performance should be used. C) Data gathered by the manager in preparation for the performance appraisal should be limited to no more than two sources, so no conflicting information is received. D) The manager should rate all employees using central tendency whenever possible.
A patient you are caring for undergoes a total hip replacement. You are getting ready to review the patient teaching that you presented over the past few days
What statement made by the patient would indicate to the nurse that the patient requires further teaching? A) "I'll need to keep several pillows between my legs at night." B) "I need to remember not to cross my legs. It's such a habit." C) "The occupational therapist is showing me how to use a 'sock puller' to help me get dressed." D) "I will need my husband to assist me in getting off the low toilet seat at home."
Biopsy reveals that a patient has a single papilloma in her right breast. The lesion was completely removed during the biopsy procedure. What information would the nurse reinforce regarding this patient's future breast cancer risk?
1. The patient has breast cancer at present. 2. The patient is at no greater risk for breast cancer in the future. 3. The patient is at some increased risk for breast cancer, generally about 1.5 to 2 times the normal risk. 4. The patient's risk for future breast cancer is very high, generally 10 to 20 times the normal risk.