The nurse on a medical-surgical unit palpates a patient's carotid pulse for 30 seconds and obtains a rate of 80 beats/min. The nurse knows in obtaining a patient's carotid pulse she must be careful that her technique does not cause a/an:
a. Increase in heart rate
b. Decrease in heart rate
c. Increase in blood pressure
d. Irregular heart rhythm
B
When assessing for a pulse using palpation of the carotid artery, it is important to palpate only one side of the neck at a time. Additionally, palpation should be light and the nurse must avoid massaging the area. Massaging the carotid can create a Valsalva response causing a decrease in heart rate and blood pressure.
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Which of the following information must be analyzed to derive an adequate explanation of disease? (Select all that apply.)
a. Description of commonalities among those who became ill b. Depiction of the possible pathogen c. Explanation of the health care system in the community d. Portrayal of the geographic area where people became ill e. Review of the methods by which disease can be spread f. Substances that are effective in sanitizing the area described
What is the relationship between nursing practice acts and documentation?
a. Nursing practice acts establish guidelines for practice and standards of care that are evidenced by documentation. b. Documentation ensures safe practice. c. Documentation and nursing practice requirements differ from state to state. d. Nursing practice acts are independent of documentation requirements.
A 44-year-old patient with type 1 diabetes is brought to the emergency department with ketoacidosis. The nurse should immediately prepare to administer
a. subcutaneous insulin. b. intravenous normal saline in large quantities. c. dextrose 50% plus thiamine. d. glucagon.
A hurricane in Texas left thousands of people injured and homeless. The Strategic National Stockpile was deployed and supplies were used to treat these patients by nurses from local hospitals
The patients have now successfully been transported to hospitals or shelters, and the nurses are prepared to bring their support to a successful conclusion. The removal and retrieval of the remnants of the 12-hour push packs will be completed by: 1. The Technical Advisory Response Unit. 2. The nurses who provided emergency care to the hurricane victims. 3. The vendors. 4. The Centers for Disease Control personnel.