When the nurse recognizes autonomic dysreflexia in the spinal cord–injured patient, the immediate intervention should be to:
1. flex the patient's legs using the knee gatch of the bed.
2. cool the patient with alcohol solution.
3. raise the head of the bed to at least 45 degrees.
4. administer oxygen per mask.
3
Raising the head of the bed reduces the BP. Flexed legs, cooling, and oxygen will not alle-viate the syndrome.
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When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, the nurse should assess for:
a. a dead battery in the patient's hearing aid. b. cerumen impaction. c. sinus congestion. d. a middle ear infection.
The nurse is admitting a client with constant, severe flank pain, spasms, nausea and vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the low back to the lower quadrants of the abdomen
The nurse's next action is to: 1. administer pain medication. 2. notify the healthcare provider immediately. 3. obtain a urine specimen for culture. 4. complete the assessment.
Because G.P.'s dysrhythmia is causing unacceptable symptoms, he is taken to surgery and a permanent DDDR pacemaker is placed and set at a rate of 70 beats/min
What does the code DDDR mean?
Using vasoconstrictors in the setting of coronary artery disease may precipitate myocardial infarction
a. true b. false