The nurse is concerned that a postpartum patient with a cervical laceration is developing hypovolemic shock. What did the nurse assess in this patient?
A) Weak and rapid pulse
B) Warm and flushed skin
C) Elevated blood pressure
D) Decreased respiratory rate
A
Feedback:
If the loss of blood is extremely copious, a woman will quickly begin to exhibit symptoms of hypovolemic shock such as a weak and rapid pulse. The skin will be pale and clammy, and the blood pressure will fall. Respiratory rate will be increased and shallow.
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A patient has a cancer that has been staged as T3 N2 M3. He has a PRN order of morphine, 4 mg, IM q3-4hr. He requests another pain shot about hours after the last one. An appro-priate nursing action would be to:
1. inform the patient that this narcotic may be given only every 4 hours to prevent addiction. 2. ignore the call bell for 20 minutes, and then take at least 10 minutes to prepare and administer the injection. 3. give the morphine; evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain. 4. ask the family to assist in helping the patient accept waiting longer to receive an addicting medication such as morphine.
After teaching a group of students about cervical cancer, the instructor determines that the teaching was successful when the students identify which of the following as the area included with a cone biopsy?
A) Clitoris B) Uterine fundus C) Ovarian follicle D) Transformation zone
A patient who has had gastric surgery for cancer is denying the diagnosis of cancer. What should the nurse do?
1. The nurse should not argue with the patient but continue to provide emotional support as needed. 2. The nurse should remind the patient of the diagnosis. 3. The nurse should ask a clinical psychologist to talk with the patient. 4. The nurse should explain how many people with cancer live long, productive lives.
Lack of which of the following is considered an external barrier to changing negative health habits?
a. Motivation b. Knowledge c. Social supports d. Financial means