A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which of the following indicators of early shock?
a) Tachycardia.
b) Dry, flushed skin.
c) Increased urine output.
d) Loss of consciousness.
Answer: a) Tachycardia.
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The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period of time. Which of the following nursing interventions would improve the patient's well-being and reduce anxiety the most?
a. Arrange for the patient's dog to be brought into the unit (per protocol). b. Contact the pet therapy department to bring a therapy dog in to visit. c. Secure the harpist to come and play soothing music for an hour every afternoon. d. Wheel the patient out near the unit aquarium to observe the tropical fish.
Concerning the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
1. kidney function returns to normal a few days after birth. 2. diastasis recti abdominis is a common condition that alters the voiding reflex. 3. fluid loss through perspiration and increased urinary output account for a weight loss of more than 2 kg during the puerperium. 4. with adequate emptying of the bladder, bladder tone is usually restored 2 to 3 weeks after childbirth.
The health care provider has prescribed the client to receive 500 mL fluid over four hours. If the drop factor is 15, the nurse will set the infusion to infuse at:
a. 10 gtt/min c. 31 gtt/min b. 21 gtt/min d. 45 gtt/min
A number of clients on the unit are at risk for deep venous thrombosis (DVT). The client who has _____________ has the highest risk
1. Had a hip replacement 2. Had a mole removed 3. Had dental surgery 4. Pneumonia