A client has sustained a large blood loss. During the assessment, the nurse realizes that which findings are under the control of the nervous system?
A. Heart rate
B. Blood pressure
C. Pupil size
D. Bowel sounds
E. Fluid volume
Ans:
A. Heart rate
B. Blood pressure
C. Pupil size
D. Bowel sounds
You might also like to view...
A nurse working on an acute care medical surgical unit is aware that his or her first duty is to the patient's health, safety, and well-being. Given this knowledge, which of the following is most necessary for the nurse to report?
a. Unethical behavior of other staff members b. A worker who arrives late c. Favoritism shown by nursing administration d. Arguments among the staff
The nurse is developing a discharge teaching plan for a postpartum woman who has developed a postpartum infection. Which of the following would the nurse most likely include in this teaching plan? (Select all that apply.)
A) Taking the prescribed antibiotic until it is finished B) Checking temperature once a week C) Washing hands before and after perineal care D) Handling perineal pads by the edges E) Directing peribottle to flow from back to front
The client is resuming a diet after hemigastrectomy. To minimize complications, the nurse would tell the client to avoid doing which of the following?
1. Lying down after eating 2. Drinking liquids with meals 3. Eating six small meals per day 4. Excluding concentrated sweets in the diet
A staff member experienced a shoulder injury while assisting with a client transfer. The nurse manager's most therapeutic response to this situation is to:
1. Thoroughly review the accident report filed by the injured personnel to determine the factors that contributed to the injury 2. Have a nonpunitive meeting with all the involved staff to discuss correcting the factors that resulted in the injury 3. Require that mechanical lifts be used in the transfer of all clients incapable of as-sisting with the transfer 4. Implement new policies and procedures to correct the factors that resulted in the injury