The nurse is caring for a client with a history of endocarditis who reports difficulty breathing and the feeling of an elephant is sitting on the chest. What is the nurse's first priority?
a. Obtain an EKG
b. Assess for recent IV drug use
c. Assess oxygen saturation
d. Auscultate the lungs
a. Obtain an EKG
rationale: The main concern for anyone with pain in the chest area is a myocardial infarction (MI). The nurse must immediately call for an EKG. The client is able to talk about breathing status, so the nurse knows this client has an airway and is breathing. The client is describing symptoms that are indicative of an MI, so calling for an EKG is the first priority.
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a. Long-term memory loss b. Short-term memory loss c. Altered perception d. Altered problem solving
A patient is experiencing a severe episode of Ménière disease. Which medication should the nurse expect to be prescribed to help reduce the sensation of spinning and nausea occurring in this patient?
1. meclizine hydrochloride (Antivert) 2. hydrochlorothiazide (HydroDIURIL) 3. diazepam (Valium) 4. droperidol (Inapsine)
Major hallmarks of the ebb phase of stress are
a. hypothermia and lethargy. b. nausea, vomiting, and diarrhea. c. increased catabolism of macronutrients. d. hyperthermia and increased nitrogen ex-cretion.
The nurse is caring for a 3-year-old with diabetes mellitus who has unpredictable eating patterns
One day the child will eat almost nothing, the next day the child eats everything on her tray. Which type of insulin would most likely be used to treat this child? A) Long-acting insulin B) Regular insulin C) Rapid-acting insulin D) Intermediate-acting insulin