The intensive care nurse is caring for a middle-aged, male patient who has been diagnosed with septic shock. The patient's wife, children, and parents have been waiting anxiously in the designated waiting area of the intensive care unit
Knowing that the patient's condition has rapidly deteriorated over the past hour, the nurse should:
A) Teach the family about the potential benefits of organ donation.
B) Facilitate an opportunity for the family to be at the patient's bedside.
C) Reassure the family that the patient is being treated with dignity.
D) Ensure that the family understands why his condition has worsened.
B
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The nurse is caring for a patient using a 5-lead continuous cardiac monitor system. To monitor lead V6, where does the nurse place the chest electrode?
A) Fourth intercostal space on right sternal border B) Right shoulder on muscle tissue close to bone C) Left shoulder on muscle tissue close to bone D) Fifth intercostal space on left mid-axillary line
Before administering an ergot drug to the patient for the first time, the nurse would assess the patient's currently prescribed medications for what drug?
A) Antidiabetic agents B) Beta adrenergic blockers C) Oral contraceptives D) Selective serotonin reuptake inhibitors (SSRIs)
A patient with advanced venous insufficiency is confined following orthopedic surgery. How can the nurse best prevent skin breakdown in the patient's lower extremities?
A) Ensure that the patient's heels are protected and supported. B) Closely monitor the patient's serum albumin and prealbumin levels. C) Perform gentle massage of the patient's lower legs, as tolerated. D) Perform passive range-of-motion exercises once per shift.
The triage nurse is working in the ED. A homeless person is admitted during a blizzard with complaints of being unable to feel his feet and lower legs. Core temperature is noted at 33.2°C (91.8ºF)
The patient is intoxicated with alcohol at the time of admission and is visibly malnourished. What is the triage nurse's priority in the care of this patient? A) Addressing the patient's hypothermia B) Addressing the patient's frostbite in his lower extremities C) Addressing the patient's alcohol intoxication D) Addressing the patient's malnutrition