A patient taking a neuromuscular-blocking agent is assessed to have a heart rate of 120 and blood pressure of 80/50. The nurse will anticipate the physician writing an order for
a. ABGs.
b. blood glucose level.
c. CBC.
d. liver function tests.
ANS: A
Patients taking neuromuscular-blocking agents should be monitored closely for clinical signs of hypoxia and hypercapnia (tachycardia, hypotension, cyanosis). ABG levels may be determined to confirm the clinical observations. Blood glucose levels, CBC, and liver function tests would not be indicated with these symptoms.
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A 60-year-old African American female client does not maintain direct eye contact with the nurse during the intake interview in the health clinic. The nurse should:
a. intensify her own eye contact with the client. b. request the client to look at her when responding to questions. c. position herself to facilitate eye contact with the client. d. model her own eye contact to be similar to the client's.
Your client's family verbalizes their appreciation for your care and asks for your feedback regarding how they can improve the care of your client. Your nursing diagnosis is:
1. Compromised family coping. 2. Abled family coping. 3. Readiness for enhanced family coping. 4. Disabled family coping.
The nurse is planning care for a client who has limited bed mobility. What instruction should be given to the assistive personnel who will be caring for this client?
1. Place a turn sheet on the bed. 2. Always use two personnel to move the client. 3. Stand at the head of the bed to pull the client up. 4. Slide the client toward the head of the bed. 5. Encourage the client to assist as possible.
Which statement accurately describes how nurse practitioner (NP) programs began?
a. Started as a physician's assistant program b. Were an offshoot of midwifery c. Have not always required a master's degree d. Began in Europe and didn't reach the United States until 1970