A nurse in the intensive care unit (ICU) is admitting a patient with a neck injury he received while diving into a lake
The emergency department nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. The ICU nurse recognizes that the patient is probably experiencing:
A) Anaphylactic shock
B) Neurogenic shock
C) Septic shock
D) Hypovolemic shock
Ans: B
Feedback: Neurogenic shock can be caused by spinal cord injury; in this case it resulted by diving into waters of unknown depth. The patient will present with a low blood pressure, bradycardia, warm dry skin due to the loss of sympathetic muscle tone, and increased parasympathetic stimulation. Option A is incorrect; anaphylactic shock is caused by an identifiable offending agent such as a bee sting. Option C is incorrect; septic shock is caused by bacteremia in the blood, and presents with a tachycardia. Option D is incorrect; hypovolemic shock presents with tachycardia and a probable source of bleed loss.
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A primiparous woman was vigilant in avoiding medications and herbs during her pregnancy and states that she is similarly committed to protecting her baby's health now that she is breast-feeding
What principle should guide the woman's use of medications while breast-feeding? A) Very few medications are explicitly contraindicated while breast-feeding. B) It is generally safer to use herbs rather than medications while breast-feeding. C) Most women can resume their prepregnancy medication regimen after delivery. D) Most medications are contraindicated while a woman is breast-feeding.
PIE, APIE, SOAP, and SOAPIE are:
a. chronologic. b. examples of problem-oriented charting. c. narrative charting. d. forms of "charting by exception."
A client presents to the emergency department (ED) with symptoms of pulmonary edema. It is important for the ED nurse to determine which of the following as part of the client's history?
1. Cardiac and pulmonary history 2. Renal and cardiac history 3. Pulmonary and renal history 4. Recent drug use and past vaccination record
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. This is an example of:
a. Ethnocentrism b. Cultural imposition c. Racism d. Stereotyping