A patient has been admitted to the emergency department with a massive gastrointestinal bleed and the team recognizes that hypovolemic shock is an imminent possibility
What assessment finding would suggest that the patient is deteriorating from a preshock state into shock?
A) The patient is confused and agitated.
B) The patient's respiratory rate is 24 breaths per minute.
C) The patient's blood pressure is 127/71.
D) The patient has crackles on chest auscultation.
D
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What accommodations should be used for the position of a hearing-impaired woman for a pelvic examination?
a. The patient should assume the M or V po-sition. b. Her legs should be farther apart. c. The head of the table should be elevated. d. The lithotomy position with obstetric stir-rups should be used.
When communicating with hospitalized infants and toddlers, the nurse knows
a. she should use long sentences with soothing words. b. she cannot communicate with a preverbal infant. c. moving to the child's eye level and maintaining eye contact are important. d. she should pick up an 18-month-old infant immediately.
The nurse auscultates a bruit in the left temporal artery. Which should the nurse understand is the initial contributing factor to the assessment finding?
A. Narrowing of the vessel. B. Decreased blood flow. C. Increased blood flow. D. Dilated arterial vessel.
The nurse is preparing a care plan for a client recently diagnosed with obstructive sleep apnea. The client complains of daytime sleepiness, fatigue and excessive snoring that "wakes me up". What nursing diagnosis would be appropriate for this c
A) Disturbed Sleep Pattern as evidenced by complaints of daytime sleepiness B) Disturbed Sleep Pattern related to obstructive sleep apnea as evidenced by excessive snoring C) Disturbed Sleep Pattern related to periods of apnea as evidenced by excessive snoring D) Disturbed Sleep Pattern related to obstructive sleep apnea