A patient comes into the emergency department after vomiting blood. The nurse should be most concerned if the patient reports taking which medication?
a. Aspirin
b. Codeine
c. Meperidine (Demerol)
d. Acetaminophen (Tylenol)
ANS: A
Gastrointestinal bleeding is a side effect of aspirin and NSAIDs. B. C. D. These medications do not cause bleeding.
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The nurse is reviewing the cranial nerves prior to a PRN shift on a neurological unit. Upon the review, the nurse notes that some of the nerves are exclusively sensory nerves. Which cranial nerves belong to this group?
Select all that apply. 1. Olfactory nerve (cranial nerve I). 2. Optic nerve (cranial nerve II). 3. Trochlear nerve (cranial nerve IV). 4. Trigeminal nerve (cranial nerve V). 5. Facial nerve (cranial nerve VII).
A nurse in the postanesthesia care unit (PACU) is caring for a 56-year-old male patient who had a hernia repair
The patient's blood pressure is now 164/92, he had no history of hypertension prior to surgery, and his preoperative blood pressure was 112/68. The nurse knows that hypertension following surgery is often related to: A) Dysrhythmias, blood loss, and hyperthermia B) Electrolyte imbalances and neurologic changes C) A parasympathetic reaction and low blood volumes D) Pain, hypoxia, or bladder distention, which all cause sympathetic stimulation
A child with a myelomeningocele corrected at birth is now 5 years old. What is a priority nursing diagnosis for a child with corrected spina bifida at this age?
1. Risk for infection 2. Risk for impaired tissue perfusion—cranial 3. Risk for altered urinary elimination 4. Risk for altered comfort
The growing multiculturalism of American society can contribute to ethnicity conflicts when:
a. providing care to different cultural groups. b. individual values align with the cultural norms. c. ethnic groups overburden the health care system. d. the greater community's values are jeop-ardized by specific ethnic values.