The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular.
B. Right foot is cool to the touch and appears pale and blanched.
C. Pulse distal to the femoral artery is weaker on the left foot than right foot.
D. The pressure dressing at right femoral area is moist and oozing blood.
Answer: B. Right foot is cool to the touch and appears pale and blanched.
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The perinatal nurse in the birthing unit is aware that according to the Emergency Medical Treatment and Active Labor Act (EMTALA), pregnant women should receive care for problems such as which of the following? (Select all that apply.)
A. A history of recent trauma B. Contractions that occur 20 minutes apart C. Decreased fetal movement D. Rupture of the membranes E. Sexually transmitted infections
A client has been prescribed colchicine to reduce inflammation associated with gout. What medication education should the nurse provide to this client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Because this is an acute attack, your dose will be fairly high." 2. "Once your acute attack has subsided, you will be maintained on a lower dose." 3. "Most of the side effects of this medication are related to disturbances of the gastrointestinal tract." 4. "You may experience light-headedness when first taking this medication." 5. "You are at greater risk for bone fractures because you are taking this medication."
The nurse is providing care to a child who is intubated and the child's condition is deteriorating. Which of the following would the nurse do first?
A) Check if the tracheal tube is obstructed B) Assess for displacement of the tracheal tube C) Look for signs of a possible pneumothorax D) Check the equipment for malfunction
A client with a depressive disorder tells the nurse, "I am thinking of switching to an alternating day/night shift because it pays more and will give me more time with my children.". The nurse's reply should be based on the knowledge that:
A) The client's priority is steady employment. B) Biological rhythms do not influence mood disorders. C) The client should contact the nurse if prodromal symptoms of the depressive disorder occur. D) Disruptions in biological rhythms will impact the client's depressive disorder.