A client with SIRS is being treated with drotrecogin alfa (Xigris). The client exhibits a decrease in level of consciousness. Which action by the nurse is most important?
a. Increase the rate of IV infusion.
b. Notify the physician.
c. Order a stat ECG.
d. Take a set of vital signs.
B
Drotregcogin alfa is used for severe sepsis and SIRS. Its main effect is to reduce the production of thrombin. Bleeding is a significant side effect. An alteration in consciousness must be consi-dered an intracranial hemorrhage until investigated.
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a. "How old are you?" b. "Are you currently being treated for hypertension?" c. "Do you have a history of respiratory infections?" d. "Have you ever been told you have prostate problems?"
A nursing student is observing an electroconvulsive therapy (ECT) procedure. The student notices a blood pressure cuff on the client's lower leg. The student questions the instructor about the cuff placement. Which is the most accurate instructor reply?
A. "The cuff has to be placed on the leg because both arms are used for intravenous fluids." B. "The cuff functions to prevent succinylcholine from reaching the foot." C. "The cuff position gives a more accurate blood pressure reading during the treatment." D. "The cuff is placed on the leg so that arms can easily be restrained during seizure."
A peak flow meter
A) is used to administer inhaled medications in dry powder form. B) gives feedback to determine whether the client is developing asthma symptoms. C) is used to identify specific allergy trigger agents. D) can only be used by a respiratory therapist or nurse with special education.
Which of the following statements would come from the evaluation section of a research critique? The:
a. researcher has reported findings significant to the nursing community. b. sample was evaluated and found to be nonrepresentative of the population the researcher was trying to study. c. study used a random sampling method that was appropriate to the design. d. subjects' rights were not protected because there is no mention of the IRB review process.