The nurse is assigned to the following group of clients. Which of these clients should be assessed first?
A. The client who had percutaneous transluminal angioplasty of the right femoral artery 30 minutes ago
B. The client admitted with hypertensive crisis who has a nitroprusside (Nipride) drip and blood pressure (BP) of 149/80
C. The client with peripheral vascular disease who has a left leg ulcer draining purulent yellow fluid
D. The client who had a right femoral-popliteal bypass 3 days ago and has ongoing edema of the foot
Ans: A. The client who had percutaneous transluminal angioplasty of the right femoral artery 30 minutes ago
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The nurse working in the emergency department assesses a client who has symptoms of stroke. For what modifiable risk factors should the nurse assess? (Select all that apply.)
a. Alcohol intake b. Diabetes c. High-fat diet d. Obesity e. Smoking
The nurse cares for a group of clients at risk for lower respiratory infection. The nurse is most concerned about which clients? Select all that apply.
1. The client who reports feeling cold and having chills. 2. The client with a respiratory rate of 30 breaths/min. 3. The client with a heart rate of 120 beats/min. 4. The client with new onset confusion and incontinence. 5. The client with nighttime cough and nasal discharge.
Rh incompatibility can occur if the woman is Rh negative and her
a. Fetus is Rh positive b. Husband is Rh positive c. Fetus is Rh negative d. Husband and fetus are both Rh negative
The nurse working in the postanesthesia care unit (PACU) notes that a patient who has just been transported from the operating room is shivering and has a temperature of 96.5° F (35.8° C). Which action should the nurse take?
a. Cover the patient with a warm blanket and put on socks. b. Notify the anesthesia care provider about the temperature. c. Avoid the use of opioid analgesics until the patient is warmer. d. Administer acetaminophen (Tylenol) 650 mg suppository rectally.