A patient's blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious. He is transferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nur
a. 10 minutes
b. 30 minutes
c. 1 hour
d. 24 hours
ANS: A
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A nurse is educating a group of nursing students about the immediate reactions that may occur after administering antivenins. Within which of the following time periods will the immediate reaction be seen if the client is sensitive to the antivenin?
A) 30 minutes B) 60 minutes C) 90 minutes D) 120 minutes
The nurse caring for a client with abdominal distention and vomiting that is fecal in nature should conduct further assessment aimed at discovering
a. a distal, small intestinal obstruction. b. gastric ulceration. c. gastrointestinal (GI) bleeding. d. ulceration of the esophagus.
During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding?
1. The uterus of a patient who has carried a child to term is frequently in a tilted-back position. 2. The uterus may be tilted backward (retroverted) or angled backward (retroflexed). 3. The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors. 4. The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.
The third part of the three-part nursing diagnosis is the
a. etiology c. defining characteris-tics b. outcome d. diagnostic label