The nurse caring for a patient with hypertensive crisis will place priority on:
1. suctioning secretions.
2. monitoring for seizure activity.
3. monitoring fluid volume.
4. preventing hyperthermia.
2
The care of a patient with hypertensive crisis focuses on monitoring for seizure activity and level of consciousness.
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After explaining active progressive relaxation to the client as a potentially useful technique to help manage anxiety, a nurse guides a client through the experience of "active progressive relaxation." The nurse tells the client that:
1. This relaxation technique can be used by anyone at any time. 2. This relaxation technique is useful for postoperative clients. 3. Muscles of the neck and back should not be excessively tightened. 4. This is a safe process and nothing bad can happen.
The nurse is caring for a patient with renal failure who has a serum potassium level of 7.1 mEq/L and serum magnesium level of 3.5 mEq/L. The nurse prepares to administer 10 units of insulin and an ampule of 50% dextrose to the patient
The patient asks why he will be receiving insulin when he is not diabetic. What is the nurse's best answer? a. "The doctor has prescribed these medications for you to help heal your kidneys." b. "These medications will lower your potassium level and prevent an irregular heart rate." c. "These medications will prevent you from having a seizure from too little magnesium." d. "These medications will increase your urine output until your kidneys recover."
In a process recording, the nurse records:
a. a verbatim account of what both the nurse and the client say during a conversation b. nonverbal communications of both the nurse and the client c. specific communication techniques used d. the nurse's evaluation of whether or not the communication was therapeutic e. all of the above
When positioning a patient in bed, you should
A. use pillows and props for support if necessary. B. turn the patient from side to side every three hours. C. avoid the supine position whenever possible. D. rest the patient's back on the side rail for support.