A patient has sustained a head injury in a motor vehicle accident. He has nitroglycerine tablets for chest pain and asks the nurse for one due to chest pain. What effect will the nitroglycerine have on the patient's current status?
A) Nitroglycerine will raise the patient's blood pressure.
B) Nitroglycerine will cause decreased cerebral edema.
C) Nitroglycerine will increase intracranial pressure.
D) Nitroglycerine will decrease blood glucose.
C
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How does a perceived loss differ from an actual loss?
a. A perceived loss is more quickly resolved. b. A perceived loss is situational. c. A perceived loss is easily overlooked. d. A perceived loss has a superficial response.
The nurse is teaching the client who is to start taking warfarin (Coumadin) for peripheral vascular disease. The nurse determines that further teaching is needed when the client states:
1. "I need to limit my intake of vitamin K-rich foods." 2. "I need to be careful about falling." 3. "I should use a soft toothbrush." 4. "I can use a disposable razor to shave."
One limitation of observation as a data collection technique is that observation is:
a. controlled. b. inflexible. c. structured. d. subjective.
On the preoperative assessment, the nurse notes the suggestion of susceptibility to malignant hyperthermia during surgery in the client's statement that
a. "I frequently have numbness and tingling in my hands." b. "I usually feel very warm and tend to perspire heavily." c. "My mother died from anesthesia problems." d. "On occasion I've had muscle tenderness around my jaw."