The nurse is working on a pulmonary unit at the local hospital. The nurse is alert to one of the early signs of hypoxia in the clients, which is:
1. Cyanosis
2. Restlessness
3. A decreased respiratory rate
4. A decreased blood pressure
ANS: 2
Mental status changes are often the first signs of respiratory problems and may include restless-ness and irritability. Cyanosis is a late sign of hypoxia. A decreased respiratory rate is not an early sign of hypoxia. The respiratory rate will increase as the body attempts to compensate for the de-creased level of oxygen. As the hypoxia worsens, the respiratory rate may decline. During early stages of hypoxia the blood pressure is elevated unless the condition is caused by shock.
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Nurses can use a preventive approach to pain management. Nursing actions could include:(Select all that apply) Standard Text: Select all that apply
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The nurse caring for a patient with HIV infection who is taking Retrovir, a nucleoside antiviral that is a reverse transcriptase inhibitor, should be especially observant for symptoms of:
1. decreased urine output. 2. hypertensive episodes. 3. jaundice. 4. edema of the face.
The nurse educator is teaching a group of nursing students the pathophysiologic reasons related to genitourinary (GU) disorders in the pediatric population. Which statements are appropriate for the nurse educator to include in the teaching session?
1. "Incomplete organ development during fetal development is the cause of many GU disorders." 2. "Improper placement of the urethra in vagina is one cause of GU disorders." 3. "GU disorders in the pediatric population can be caused by hydronephrosis." 4. "GU disorders in the pediatric population are not caused by infections." 5. "Anatomic obstruction or incomplete nerve innervation can cause GU disorders."
The nursing assistant will benefit from doing warm-up exercises before going on duty.
Answer the following statement true (T) or false (F)