When caring for the patient with upper GI bleeding, the nurse assesses for which of the following? (Select all that apply.)
a. Severity of blood loss
b. Hemodynamic stability
c. Vital signs every 30 minutes
d. Signs of hypervolemic shock
e. Necessity for fluid resuscitation
A, B, E
Initial evaluation of the patient with upper GI bleeding involves a rapid assessment of the severity of blood loss, hemodynamic stability and the necessity for fluid resuscitation, and frequent monitoring of vital signs and assessments of body systems for signs of hypovolemic shock. Vital signs should be monitored at least every 15 minutes.
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Which statement made by a parent alerts the nurse to the need for additional education about poison prevention?
a. "I keep the poison control center phone number easily accessible." b. "All medication is kept out of reach in a locked cabinet." c. "I keep a bottle of syrup of ipecac handy." d. "Our garden is free from marigolds."
At the state level what defines the legal boundaries of nursing?
A) The legal counsel of the state B) The Nurse Practice Act C) The ANA standards of practice D) The ANA Code for Nurses
What do the critics of prospective payment system argue?
A) Diagnosis-related groups have not helped to contain rising health care costs B) Slight increase in length of hospital stay C) Services provided result in decrease in quality of care D) Evolved primarily from voluntary efforts to monitor the quality of services provided
During a centering pregnancy group meeting, the nurse teaches patients that the fetal period is best described as one of
a. Development of basic organ systems b. Resistance of organs to damage from external agents c. Maturation of organ systems d. Development of placental oxygen–carbon dioxide exchange