Your patient is a 44-year-old male who has been in jail for three days after being arrested for driving while intoxicated. He now presents with diaphoresis, anxiety, hallucinations, insomnia, and tremors. HR = 142, BP = 132/94, RR = 34, blood glucose = 85 mg/dL. Which of the following is appropriate?
A) Thiamine 100 mg IV.
B) Narcan 2 mg IV.
C) 25 gm 50% dextrose IV.
D) IV of NS KVO.
D) IV of NS KVO.
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A patient who is currently undergoing surgery has vomited a small amount of emesis. How should the OR nurses best respond to this intraoperative event?
A) Turn the patient on his or her side and perform oral suctioning. B) Maintain the patient's current position and perform deep suctioning. C) Administer an antiemetic as ordered and closely monitor the patient for further vomiting. D) Assist the anesthesiologist with extubating the patient.
When doing manual ventilations during a code, the nurse would administer ventilations following which guideline?
a. Approximately 8 to 10 breaths per minute b. During the fifth chest compression c. Every 3 seconds or 20 times per minute d. While compressions are stopped
The nurse recognizes that teaching a 44-year-old woman following a laparoscopic cholecystectomy has been effective when the patient states which of the following?
a. "I can expect yellow-green drainage from the incision for a few days." b. "I can remove the bandages on my incisions tomorrow and take a shower." c. "I should plan to limit my activities and not return to work for 4 to 6 weeks." d. "I will always need to maintain a low-fat diet since I no longer have a gallbladder."
A nurse is preparing to assess a client before a physician prescribes a regimen of psychopharmacological therapy. Which components should the nurse assess prior to the initiation of therapy? Select all that apply
A) Medical history B) Physical examination C) Ethnocultural assessment D) Current medication E) Client response to medication