What is an excitatory process caused by pain stimuli that involves the spinal nerves and can persist when there is no longer stimulation?
A) Central sensitization
B) Neuronal windup
C) Peripheral sensitization
D) Neuronal plasticity
A
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A patient who had a transvenous pacemaker placed in the subclavian vein 24 hours ago is experiencing pleuritic pain, hypotension, and respiratory distress. What complication does the nurse suspect in this patient?
A) Perforation of ventricular wall B) Pneumothorax C) Lead dislodgment D) Phlebitis
A nurse is preparing to administer digoxin [Lanoxin] to a patient. The patient's heart rate is 62 beats per minute, and the blood pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium level of 5.2 mEq/L
What will the nurse do? a. Contact the provider to request an in-creased dose of digoxin. b. Give the dose of digoxin and notify the provider of the potassium level. c. Request an order for a diuretic. d. Withhold the dose and notify the provider of the heart rate.
Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?
a. Monitor fluid intake and output. b. Administer calcium supplements. c. Assess lymph nodes for enlargement. d. Limit weight bearing and ambulation.
The nurse is assessing the gastric residual volume of a client receiving enteral feedings. The nurse notes there is a residual of 250 cc. Which action by the nurse is most appropriate?
A) Reduce the amount of the next feeding by 250 cc. B) Contact the primary care physician. C) Document the findings. D) Slow the next feeding to promote improved absorption.