A patient with a massive upper gastrointestinal hemorrhage is exhibiting signs and symptoms of hypovolemic shock. What initial treatment does the nurse anticipate?
A) Admission to a general care nursing unit for monitoring
B) Initial fluid resuscitation with intravenous crystalloids
C) Diet of clear liquids, advanced as tolerated
D) Bed rest in semi-Fowler's position
B
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The LPN/LVN understands the four activities involved in assessment include: Standard Text: Select all that apply
1. Gathering information about a client. 2. Organizing data. 3. Documenting data. 4. Measuring responses to nursing interventions. 5. Validating data.
A patient with a large inguinal hernia has abdominal distention and inguinal pain. The nurse recognizes these as indicators of which type of hernia?
a. Strangulated b. Hiatal c. Ventral d. Umbilical
The nurse is teaching the patient how to size the skin barrier around the stoma. Which instruc-tions does the nurse include?
a. Use the measurement guide for a proper fit. b. Extend the skin barrier to cover the inci-sional area. c. Make a wick from toilet tissue before changing the skin barrier. d. Trim the skin barrier to fit slightly over the stoma margin.
Which of the following types of seizures may be difficult to detect?
a. Absence b. Generalized c. Simple partial d. Complex partial