When changing the position of a patient with a spinal cord injury at T4, the nurse observes the first indication of an episode of autonomic dysreflexia, which is:
a. nausea.
b. pallor.
c. goose bumps.
d. dizziness.
C
Patients with spinal cord lesions above T5 may experience sudden and extreme elevations in blood pressure caused by a reflex action of the autonomic nervous system. It is produced by stimulation of the body below the level of the injury, usually by a distended bladder from a blocked catheter. Any stimulation can produce the syndrome, including constipation, diarrhea, sexual activity, pressure ulcers, position changes (from lying to sitting), and even wrinkles in clothing or bed sheets. In addition to high blood pressure, symptoms may include diaphoresis, shivering or goose bumps, flushing of the skin, and a severe pounding headache.
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__________ is a defense mechanism that is characterized by redirecting one's energy to another person or object
Fill in the blank(s) with correct word
An operating room (OR) nurse notices that the nurse-anesthesiologist for the next scheduled surgery seems to be unsteady. When the OR nurses comes closer to the anesthesiologist, a strong odor of alcohol is noted. Which actions by the OR nurse are appropr
Select all that apply. A) Assume that the surgeon is handling any problem. B) Immediately report it to a supervisor. C) Respect the privacy of the anesthesiologist. D) Decide that a professional coworker is unlikely to come to the OR impaired. E) Follow the state board guidelines.
The ADN graduate was surprised to learn that the ANA published a paper in 1965 detailing their position on the entry level of nursing. What did the nurse learn about the ANA's position?
A) The education of all those who are licensed to practice nursing should take place in institutions of higher education. B) Minimum preparation for beginning professional nursing practice should be the associate degree in nursing. C) Minimum preparation for beginning technical practice should be the baccalaureate degree in nursing. D) There was no need for assistant nurses in the health care occupations.
The nurse is planning care for a patient who is experiencing a situational crisis. What is the most effective way for the nurse to plan care for this patient?
1. Organized with follow-up 2. Based on complete assessment 3. Focused on long-term problems 4. Developed prior to meeting with the patient