The nurse caring for a patient with autonomic dysreflexia assesses the patient for which conditions or situations? (Select all that apply.)
a. Distended bladder
b. Constipation
c. Increased fluid intake
d. Wrinkles in bed linens
e. Abrupt environmental temperature changes
A, B, D, E
Bladder distention, constipation, wrinkled bed linens, and temperature changes are potential triggers for autonomic dysreflexia (AD) that the nurse should assess for. This condition causes a rapid increase in blood pressure.
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A staff nurse is not meeting job expectations. The manager has followed some standard strategies such as counseling to try to motivate the nurse, but they have not been successful
When discussing the situation with the supervisor, the manager says, "I think I will try shaping strategies." What can the supervisor expect of the staff nurse's performance? 1. It should gradually move toward the expected behaviors. 2. The behaviors will likely get worse before they get better. 3. The nurse will probably get frustrated and resign. 4. Performance should be at expected levels within a week.
Why are high-risk and vulnerable subpopulations identified by public health nurses before deciding on appropriate interventions?
a. It is easiest to make improvements among these groups. b. Populations are not homogeneous, and resources are limited. c. Such groups are most vocal about their needs and wants. d. These groups are often recipients of special funding.
Which of the following is the appropriate intervention to avoid physical dependence on drugs in a client?
a) Administer adjuvant drugs along with the prescribed drug. b) Increase dosage of the drug. c) Discontinue drugs gradually. d) Administer subtherapeutic doses.
During an assessment the nurse suspects that a victim of a motor vehicle crash is a narcotic substance user. Which assessment finding would confirm the nurse's suspicion? Select all that apply.
A. Dilated pupils B. Poor pupillary response to light C. One dilated and unresponsive pupil D. Unequal pupil size E. Small pupils