An elderly patient in the ICU is receiving intravenous opioid analgesia for pain. The nurse observes that the patient's respiratory rate has decreased to 8 breaths per minute. Which nursing intervention would be most appropriate?
A) Administer naloxone intravenously very slowly.
B) Administer diazepam immediately.
C) Increase the dose of opioid.
D) Massage the patient's feet to stimulate her breathing.
A
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A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client's plan of care?
a. Change the dressing every 6 hours. b. Assess the wound bed once a day. c. Change the dressing when it is saturated. d. Contact the provider when the dressing leaks.
You are caring for a patient with abruptio placentae. Your assessments will include looking for signs and symptoms of
A) acute respiratory distress syndrome. B) disseminated intravascular coagulation. C) amniotic fluid embolism. D) all of the above.
The perioperative nurse is writing a care plan for a patient who has returned from surgery 2 hours prior. Which measure should the nurse implement to most decrease the patient's risk of developing pulmonary emboli (PE)?
A) Early ambulation B) Increased dietary intake of protein C) Maintaining the patient in a supine position D) Administering aspirin with warfarin
The nurse is caring for a patient receiving IV aminoglycosides for an intractable infection in his or her leg. What would it be important for the nurse to monitor this patient for?
A) Visual disturbances B) Liver dysfunction C) Serum glucose levels D) Renal dysfunction