Elevate the side rails 60 minutes after the patient receives the preoperative injection.
Answer the following statement true (T) or false (F)
False
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The nurse is caring for a patient admitted to a neurological unit with new-onset mild confusion and a headache. Magnetic resonance imaging confirms the physician's suspicion of brain tumor. The physician orders dexamethasone (Decadron) IV, which completely relieves the patient's symptoms. The patient's family is convinced this is a miracle. Which of the following statements by the nurse is best?
a. "The brain is such a unique organ, we never really know what will happen." b. "Decadron regenerates neurons in the central nervous system, so the patient should continue to get even better over the next week or so." c. "By dilating the arteries in the brain, blood flow is improved and symptoms improve." d. "The Decadron works to reduce swelling in the brain caused by the tumor; we often see remarkable improvement."
The nurse is preparing to assess the arteriovenous fistula of a client scheduled for dialysis. Which findings should the nurse anticipate?
A. Bulging veins near the surface of the skin. B. Discoloration of the area. C. Cool shiny skin. D. Unilateral edema.
NAP competence is built upon a number of factors. Which of the following is not one of these factors?
a. formal training and assessment b. orientation to specific settings and patient types c. experience in implementing nursing care d. communication
Which action should the emergency department staff take first for an older patient who is demonstrating extreme confusion?
A) Order an ECG B) Administer a stimulant C) Review the drugs being taken D) Check serum electrolyte levels