The patient's initial vital signs immediately on return from surgery are BP, 140/90; P, 80; R, 14; T, 98° F. One hour later the vital signs are BP, 130/84; P, 72; R, 16; T, 96.8° F. Based on these assessments, the nurse should:
a. add a blanket for warmth to the patient.
b. notify the charge nurse of probable he-morrhage.
c. raise the head of the bed 45 degrees.
d. note the assessment as normal postopera-tive recovery.
D
Chart the normal recovery assessment and continue to monitor. There is no indication of chilling, hemorrhage, or respiratory distress.
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A 28-year-old man has been taking sertraline for a few months. On a follow-up visit to the clinic, he reports a change in sexual functioning, dizziness, and insomnia. The most appropriate response by the nurse would be
A) "How much of the drug are you taking at one time?" B) "Have you stopped taking the drug?" C) "Do you eat a lot of fat in your diet?" D) "How much alcohol do you consume?"
A woman states that she does not want any medication for pain relief during labor. Her doctor has approved this for her. What is your best response to her concerning this choice?
A) "That's wonderful. Medication during labor is not good for the baby." B) "Your doctor (a man) has never been in labor; he may be underestimating the pain you will have." C) "I respect your preference whether it is to have medication or not." D) "Let me get you something for relaxation if you don't want anything for pain."
A 198-lb patient is to receive a dobutamine infusion at 5 mcg/kg/minute. The label on the infusion bag states: dobutamine 250 mg in 250 mL normal saline. When setting the infusion pump, the nurse will set the infusion rate at how many mL per hour?
What will be an ideal response?
Which statement by a patient receiving nitroglycerin ointment indicates the need for additional teaching by the nurse?
a. "I will remove the previous dose before I put on the new dose." b. "I will reapply the dose every 4 hours around the clock." c. "I must avoid rubbing my skin when I put on a new dose." d. "I will put tape over the paper so that the dose stays in place."