Hal is a 26-year-old man who works in construction. He was helping a friend replace a roof on his backyard shed after work on a hot July afternoon. Hal and his friend had a few beers as they worked on the roof
Hal's friend took him to the hospital after Hal had severe muscle cramps and became confused. Which of the following should the admitting nurse do first when assessing Hal? A. Draw a specimen to check for blood alcohol level.
B. Take Hal's temperature.
C. Ask Hal how long he had been sick.
D. Start an intravenous line.
B
Prolonged exposure to the sun or high environmental temperatures overwhelms the body's heat loss mechanisms. Heat also depresses hypothalamic function. These conditions cause heat stroke, a dangerous heat emergency, defined as a body temperature of 40° C (104° F) or higher. Signs and symptoms of heat stroke include giddiness, confusion, delirium, excess thirst, nausea, muscle cramps, visual disturbances, and even incontinence. The most important sign of heat stroke is hot, dry skin. A heat stroke can be fatal.
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A group of novice nursing students are learning how to manually measure a client's blood pressure using a stethoscope and sphygmomanometer. Which of the following statements by students would the instructor most likely need to correct?
A) "I'll inflate the cuff around 30 mm Hg above the point at which I can't palpate the client's pulse." B) "If my client's arm is too big for the cuff, I'm going to get a BP reading that's artificially low." C) "The accuracy of the whole process depends on my ability to clearly hear the Korotkoff sounds with the bell of my stethoscope." D) "With practice, my measurement of clients' blood pressures with this method will be more accurate than with automated machines."
The hospice nurse is making a home visit to a client with terminal cancer. The client reports poor pain control, and the client's spouse says, "I'm giving such big doses of medication,
I'm afraid she is going to overdose if I give her more." Which response by the nurse is the most appropriate? 1. "You're wise to be concerned. These are very strong medications you're administering." 2. "You want her to be comfortable but you don't want to endanger her life. Let's talk about the medication you're giving and warning signs you'll see if the dosage you're administering is too high." 3. "I hear what you're saying, but you're not giving enough pain medication, so she is in severe pain. You need to give more." 4. "You aren't giving adequate pain relief, and she is in severe pain as a result."
The nurse, assessing a client for stressors, is implementing which of the following nursing theorists' hypothesis, which focused on the wellness of the client system in relation to environmental stressors and reactions to stressors?
a. Hilda Peplau c. Joyce Travelbee b. Betty Neuman d. Sister Callista Roy
If a reviewer is asking "Does the summary of the current empirical and theoretical knowledge provide a basis for the study?", what part of the study is being critiqued?
a. Literature review b. Research objectives, questions, or hypotheses c. Research problem and purpose d. Study framework