The nurse reassesses the patient who has been in shock to evaluate the nursing interventions used. The criterion that documents successful interventions is which of the following?
1. The patient's pulse strength against the nurse's fingertips is of increasing strength; there is an increasing blood pressure and increased alertness.
2. The patient's pulse strength against the nurse's fingertips is of decreasing strength; there is a decreasing blood pressure and increased alertness.
3. The patient's pulse strength against the nurse's fingertips is of increasing strength; there is decreasing blood pressure and decreased alertness.
4. The patient's pulse strength against the nurse's fingertips is the same as the last reading; there is no increase in blood pressure or alertness.
1
Failure of the circulatory system produces shock; return of circulatory parameters to a more normal status is evidence that the patient is returning to homeostasis.
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Which of the following will cause a nurse to suspect that a patient's pulmonary contusion is worsening?
a. A pulmonary artery catheter showing a central venous pressure of 6 cm H2O and a wedge pressure of 8 mm Hg b. An increased need for pain medication c. An arterial blood gas value that demonstrates respiratory alkalosis d. Increased peak airway pressures on the ventilator
Directions: Calculate the dosages, use labels where provided, and shade in the dosages on the syringe where provided. Round answers to the nearest tenth unless otherwise indicated. Order: Ranitidine 35 mg IV q6h Available:
a. How many milliliters will you add to the IV? _____ mL b. Shade the dosage in on the syringe
The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief
How should the nurse interpret this family's behavior? 1. Irrational behavior 2. Expression of anger 3. Maladaptive coping of the family 4. Normal shock when experiencing the loss of a loved one
A client is seeing the physician at the clinic and tells the nurse he is fatigued and short of breath with minimal exertion. What lab study may reflect a decrease in transport of oxygen?
A) Erythrocyte count B) Leukocyte count C) Platelet count D) Albumin level