A nursing care plan should be created when the individual enters care but should be amended as his or her condition changes
Indicate whether the statement is true or false
True
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A patient is admitted with posttraumatic stress disorder (PTSD) says he had a very stressful experience when in high school and has never really recovered. What is the most appropriate nursing action?
a. Encourage the patient to talk about what caused the traumatic event. b. Guide the patient in relaxation techniques to distract him when flashbacks occur. c. Provide sleeping medication so that he can sleep at night. d. Allow the patient to talk about his condi-tion as often as he likes.
A patient presents to the emergency room in cardiac arrest following a bee sting. The nurse should have epinephrine:
A) 1: 1000 dilution in the upper thigh B) 1:1500 dilution intracardiac C) 1:2000 dilution intravenous D) 1:2500 dilution intramuscular
A patient is receiving heparin postoperatively to prevent deep vein thrombosis. The nurse notes that the patient has a blood pressure of 90/50 mm Hg and a heart rate of 98 beats per minute. The patient's most recent aPTT is greater than 90 seconds
The patient reports lumbar pain. The nurse will request an order for: a. a repeat aPTT to be drawn immediately. b. analgesic medication. c. changing heparin to aspirin. d. protamine sulfate.
The nurse should anticipate which of the following as the most common complication after an MI?
a. Pulmonary edema b. Cardiogenic shock c. Dysrhythmias d. Deep vein thrombosis