The nurse is assessing a client who has taken LSD. Which assessment finding should the nurse anticipate?
A. Hypotension
B. Increased temperature
C. Pinpoint pupils
D. Bradycardia
Answer: B
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A 4-year-old boy has a febrile seizure during a well-child visit. Which of the following would be a priority?
A) Hyperextending the child's head while placing him on his side B) Using a tongue blade to pry open the child's jaw C) Loosening the child's clothing to ensure a patent airway D) Protecting the child from harm during the seizure
The nurse wishes to participate in educational ethics rounds at the hospital. What is essential in these rounds?
1. The client must give consent. 2. The group must be interdisciplinary. 3. These rounds must be conducted privately. 4. The cases must be hypothetical.
A patient with ESKD receives continuous ambulatory peritoneal dialysis. The nurse observes that the dialysate drainage fluid is cloudy. What is the nurse's most appropriate action?
A) Inform the physician and assess the patient for signs of infection. B) Flush the peritoneal catheter with normal saline. C) Remove the catheter promptly and have the catheter tip cultured. D) Administer a bolus of IV normal saline as ordered.
A 71-year-old woman with a history of rheumatoid arthritis and chronic heart failure has been admitted to the hospital for the treatment of a suspected upper gastrointestinal bleed
When performing an assessment of this patient, which of the following questions most directly addresses a likely cause of the woman's bleeding disorder? A) "How closely do you tend to monitor your blood pressure when you're at home?" B) "Has your doctor prescribed a water pill for your heart failure?" C) "Do you ever take aspirin to treat the pain of your arthritis?" D) "Did either of your parents or siblings have problems with bleeding?"