When assessing vital signs on a 40-year-old male, the nurse identifies a pulse rate of 120 . This pulse is:
a. normal.
b. bradycardic.
c. dysrhythmic.
d. tachycardic.
D
If the pulse is faster than 100 beats per minute on an adult patient, it is considered to be tachycardia.
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The nurse working the telephone suicide crisis line receives a call from a man who tells her he lives alone in a home several miles from his nearest neighbors. He has been considering suicide for 2 months
He has had several drinks and has loaded his shotgun, with which he plans to shoot himself in the chest. How should the nurse assess the lethality of this plan? a. No risk b. A low level of lethality c. A moderate level of lethality d. A high level of lethality
The nurse teaches the patient who has experienced toxic shock syndrome (TSS) 2 months postpartum which of the following general guidelines?
A) Use of superabsorbent tampons is not recommended. B) Tampons may be left in place up to 4 hours. C) A diaphragm or cervical cap may be used during menses. D) TSS is not associated with postpartum bleeding as much as with menses.
A client is applying thigh high antiembolism stockings after being instructed by the nurse. Evidence that the client understands the instructions would be that the client:
a. folds the top of the stockings over. c. applies talcum powder over the feet and legs. b. stands to put on the stockings. d. says that she is not allowed to remove them for a week.
A female patient who is not taking any other medications is prescribed aliskiren [Tekturna], a direct renin inhibitor (DRI). The nurse reviews medication information with the patient
Which statement by the patient indicates understanding of the teaching? a. "If I get pregnant, I should stop taking this drug by the second trimester." b. "If I take this drug with a high-fat meal, it will be more effective." c. "I should restrict my potassium intake while taking this drug." d. "I should take this medication 1 hour be-fore sitting down to a meal."