A nursing priority in any care situation is the establishment and maintenance of a patent airway. Which of the following patients would likely require medical and nursing interventions to protect the airway?
A) A patient who has developed septic shock during treatment for severe burns
B) A patient who has gone into anaphylactic shock after inadvertently eating shellfish
C) A patient whose myocardial infarction has resulted in cardiogenic shock
D) A patient who has gone into hypovolemic shock as a result of injury to the femoral artery
B
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Which should the nurse do when applying a topical nitroglycerin ointment?
a. Massage it thoroughly into the skin. b. Squeeze it onto the applicator paper and place it on the skin. c. Apply it to the medial aspect of the thigh. d. Shave the skin prior to application.
A patient has heart failure and is taking an ACE inhibitor. The patient has developed fibrotic changes in the heart and vessels. The nurse expects the provider to order which medication to counter this development?
a. Aldosterone antagonist b. Angiotensin II receptor blocker (ARB) c. Beta blocker d. Direct renin inhibitor (DRI)
A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft
The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, the nurse would designate a score of: a. 10 and document findings in the chart. b. 6 and further teach and assist the mother in feeding activities. c. 5 and tell the mother to discontinue feeding attempts at this time because the infant is too sleepy. d. 8 and no further assistance is needed for feeding.
An adult client tells the nurse, "No matter what I do, I never can make my parents happy with me or what I do in life.". Which of the following can the nurse do to assist this client's self-concept?
1. Suggest the client reduce the amount of time spent with parents 2. Remind the client that she is an educated woman with a great career and good marriage 3. Tell the client that she is too old to be listening to her parents 4. Suggest the client turn the tables and express the same dissatisfaction with the parents