A nurse notes a typical cardiovascular change in an immobilized postoperative patient. Which of the following did the nurse find upon assessment?
a. Atelectasis
b. Negative nitrogen balance
c. Orthostatic hypotension
d. Bleeding
C
Orthostatic hypotension, a common cardiovascular response, occurs in patients on bed rest and after prolonged sitting. Orthostatic hypotension is an increase in heart rate of more than 15% and a drop of 15 mm Hg or more in systolic blood pressure or a decrease of 10 mm Hg in diastolic blood pressure when the patient rises from a lying or sitting position to a standing position. Respiratory changes, not cardiovascular, include decreased lung expansion, generalized muscle weakness, and stasis of secretions. These conditions are consistent with the development of atelectasis. Three factors contribute to thrombus formation (not bleeding), which include loss of integrity of vessel wall, abnormalities of blood flow, and changes in clotting factors/increased platelet activity.
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A college football player is brought to the emergency room by paramedics after a blunt trauma injury received during a game
There is a high suspicion that the patient has sustained an injury to his kidneys from being tackled from behind. The emergency room nurse caring for the patient reviews the initial orders written by the physician and notes that an order has been written to collect all voided urine and send it to the laboratory for analysis. The nurse understands that this nursing intervention is important because: A) Hematuria is the most common manifestation of renal trauma and blood losses may be microscopic, so laboratory analysis is essential. B) Intake and output calculations are essential and the laboratory will calculate the precise urine output produced by this patient. C) A creatinine clearance study may be ordered at a later time and the laboratory will hold all urine until it is determined if the test will be necessary. D) There is great concern about electrolyte imbalances and the laboratory will monitor the urine for sodium concentrations.
The nurse is reviewing her knowledge of iron deficiency. She recognizes that which of the following patients would be most at risk for iron deficiency?
a. A patient who has undergone a partial gastrectomy for ulcer disease b. A patient who has bone marrow involvement with lymphoma c. A patient who is a vegetarian d. A patient who has been receiving radiation treatments for breast cancer
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old married daughter is expecting her first child. What is a major factor in determining how the woman will respond to becoming a grandmother?
a. Her career b. Being divorced c. Her age d. Age of the daughter
What percent of 400 is 125? ____________________
Fill in the blank(s) with correct word