A nurse is alert to a possible delayed reaction to the dye injected during an angiography. The nurse monitors the client for:
A. Pallor
B. Dyspnea
C. Bradycardia
D. Numbness and tingling
B
B. Assess client for possible delayed reaction to iodine dye—dyspnea, hives, tachycardia, and rash.
A and C. If client experiences marked changes in vital signs evidenced by tachycardia, bradycardia, hypertension or hypotension, lower table or head of bed to the Trendelenburg position.
D. Client's report of any feelings of pain, dyspnea, numbness or tingling, or other untoward symptoms may indicate cardiac complications or procedure site complications.
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The nurse practices medical asepsis in performing daily care by:
a. lifting a sterile swab from a sterile field. b. using disposable sterile gowns. c. washing hands for 5 minutes between patients. d. keeping bed linens off the floor.
Self-harm, or the deliberate destruction of body tissue, is:
a. not a conscious intent of suicide. b. a conscious intent of suicide. c. common with young boys. d. a way to cope with issues of high esteem.
A nurse is working with a psychiatric inpatient on discharge planning. The client asks the nurse what he should do when he goes home to promote getting adequate sleep
Which of the following responses would be the most appropriate for the nurse to make? A) "Go to bed at the same time every night, and watch a television show that relaxes you." B) "Save your bedroom for sleeping; that means no work and no TV in the bedroom." C) "Why don't you ask your psychiatrist for a prescription for a sleeping pill?" D) "Vary the time that you go to bed each evening so you can learn to fall asleep regardless of the time."
Select the primary reason why the use of ketamine would be contraindicated in patients with a history of hypertension.
A. Ketamine stimulates the sympathetic nervous system, leading to elevated blood pressure and heart rate during the anesthesia. B. Ketamine activates the alpha2 adrenergic receptors in the CNS and inhibits sympathetic activity, resulting in increased blood pressure and heart rate. C. Ketamine competitively inhibits the activity at the benzodiazepine recognition site on the GABA receptor, leading to elevated blood pressure and heart rate. D. None of these are correct.