The nurse is caring for a patient who is suspected of having a rupturing abdominal aortic aneurysm. What manifestations are consistent with early onset of the phenomena? Select all that apply
A) Elevated temperature
B) Complaints of leg pain
C) Abdominal pain
D) Low back pain
E) Pulsating, palpable abdominal mass
Ans: C, D
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You are an occupational health nurse who is presenting a workshop on laryngeal cancer. What risk factors would you be sure to include in your workshop? Select all that apply
A) Alcohol B) Age C) Tobacco D) Industrial pollutants E) Region of country you live in
The nurse is monitoring a client in labor whose membranes ruptured spontaneously. The initial nursing action is to:
1. Take the client's blood pressure. 2. Provide peripads to the client. 3. Determine the fetal heart rate. 4. Note the amount, color, and odor of the amniotic fluid.
A patient has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently the patient, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep. What are the best actions for the nurse to take at this time? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Standard Text: Select all that apply. 1. Check the patient's oxygen status. 2. Request an order for sleep medication. 3. Assess the patient's vital signs. 4. Turn down the lights at night and reduce noise to a minimum. 5. Schedule all tests and procedures before 9 p.m. or after 7 a.m.
The patient is receiving Phenobarbital (Luminal) for control of seizures. The patient tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be decreased during your pregnancy." 2. "Please talk to your doctor; this drug is contraindicated in pregnancy." 3. "Your medication dose will need to be increased during your pregnancy." 4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)."