The nurse is assessing a terminal patient who is in the process of dying. Which cardiovascular changes will the nurse monitor for during the physical assessment early in the dying process? Select all that apply
1) Increased blood pressure
2) Decreased blood pressure
3) Increased heart rate
4) Decreased heart rate
5) Decreased peripheral pulses
ANS: 2, 3, 5
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A) It is a temporary change. B) It causes reversible alterations in A&P. C) It requires special patient education for rehabilitation. D) It requires a short period of care or support.
A patient is experiencing oliguria. Which action should the nurse perform first?
a. Assess for bladder distention. b. Request an order for diuretics. c. Increase the patient's intravenous fluid rate. d. Encourage the patient to drink caffeinated beverages.
The patient takes St. John's wort for depression but does not tell anyone about this. The psychiatrist prescribes an SSRI. What could the nurse's assessment reveal due to this concurrent administration?
1. Dizziness 2. Serum glucose level of 340 3. Sedation 4. Serum potassium of 6.0
A patient with aortic stenosis is being treated for heart failure. Which of the following medications would the nurse question?
a. Heparin b. Bumetanide (Bumex) c. Digoxin (Lanoxin) d. Warfarin (Coumadin)