The nurse suspects that a patient diagnosed with a myocardial infarction is developing cardiogenic shock. What manifestation did the nurse assess to come to this conclusion?
1. jugular vein distention
2. warm extremities
3. laryngospasm
4. urticaria
Correct Answer: 1
Jugular vein distention is seen in cardiogenic shock. Warm extremities are seen in early septic shock and anaphylactic shock. Laryngospasm and urticaria are seen in anaphylactic shock.
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Which actions would the nurse take when removing a radial artery catheter? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Don a sterile gown, sterile gloves, and eye protection. 2. Send the tip of the catheter to the laboratory for culture and sensitivity. 3. Remove the dressing. 4. Apply direct pressure to the insertion site after the catheter is removed. 5. Plan frequent observation of the site after removal of the catheter.
The patient has generalized anxiety disorder. He asks the nurse, "Will I need medication for this? My neighbor is very nervous and he takes medication." What is the best response by the nurse?
1. "Medications are a way of life for patients with anxiety disorders." 2. "Medication is necessary initially; later we will try therapy." 3. "Probably not, but you shouldn't compare yourself to your neighbor." 4. "Medication is necessary when anxiety interferes with your quality of life."
The nurse is preparing to administer zonisamide (Zonegran) to a newly admitted patient with the diagnosis of adult partial seizures. The nurse should hold this medication if the patient has which sign(s) or symptom(s)? (Select all that apply.)
a. Skin rash b. Urinary frequency c. Drowsiness d. Allergy to Bactrim e. Pruritus
Which one of the following reactions requires emergency medical attention?
A. Stevens-Johnson syndrome B. Pruritis and photosensitivity C. Fanconi syndrome D. Disulfiram reaction