The nurse is caring for a patient diagnosed with an abdominal aortic aneurysm. The patient is complaining of intense abdominal pain and lightheadedness. The patient's blood pressure has dropped and pulse is rising
What is the priority nursing intervention? a. Monitor the patient's blood pressure every 15 minutes.
b. Contact the physician immediately.
c. Notify the patient's family of the change in condition.
d. Instruct the patient to inform you if the pain intensifies.
B
The patient is most likely experiencing a ruptured aneurysm, which is a medical emergency re-quiring surgical repair; therefore, the physician should be contacted immediately. The vital signs may need to be measured more often than every 15 minutes. Notifying the family is not the priority intervention. Ongoing assessment of pain should continue.
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Which of the following nursing interventions should a nurse perform to promote the dignity and self esteem of a dying client?
A) Communicate a spirit of hopefulness. B) Keep the client clean and well groomed. C) Share emotional pain. D) Help the client live according to his or her wishes.
The nurse is conducting a family interview after a child is diagnosed with ASD. The nurse would interpret which behavior as pertinent to this diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The father's facial expressions do not "match" the conversation. 2. The mother repeatedly folds and unfolds a table napkin. 3. Two brothers elbow one another while sitting on the couch. 4. The father does not look at the nurse when answering a question at the end of the interview. 5. The mother fails to correct children who are bouncing a ball in the house.
Markle's Common Framework offers valuable guidance for the development and deployment of patient-centered PHRs. The Framework identifies seven attributes of an ideal PHR
Which of the following are considered attributes of the Common Framework? Select all that apply. 1. PHRs permit easy exchange of information across health care systems. 2. PHRs contain information from one's entire lifetime. 3. PHRs contain information from all health care providers. 4. PHRs are accessible from any place at any time. 5. PHRs are private and secure.
The nurse is teaching a parenting class for parents of preschoolers with behavior disorders. In addition to providing a routine and maintaining structure, the nurse discusses measures to help parents calm their children when they are overactive
Which of the following interventions would promote the desired outcome of calming down? A) Increasing the child's activity level throughout the day B) Offering the child a warm therapeutic tea C) Having the child play a video game D) Using a "boring" room for time out