A nurse assessing a client with alcohol dependence observes that the pulse rate of the client is 120 beats per minute and the diastolic blood pressure is 120 mm Hg. Which of the following actions does this observation suggest?
A) Monitor for withdrawal symptoms.
B) Monitor fluid intake and output.
C) Monitor for seizure activity, hallucinations, and tremors.
D) Consult with the physician regarding the need for a sedative.
D
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A client accompanied by his daughter is seen at the ambulatory care clinic with complaints consistent with cataracts. The client's daughter voices her concerns about her father's continuing to drive their car
She asks the nurse about the incidence of motor vehicle accidents in the elderly. What information can be accurately provided? A) The risks of seniors over age 80 are similar to those of teen drivers. B) There are few studies available looking at this particular concern. C) The elderly have few wrecks, as they are more cautious drivers. D) The accidents experienced by the elderly are the result of cognitive changes not related to sensory problems.
A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions
Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating: A) Latent phase of the first stage of labor B) Active phase of the first stage of labor C) Transition phase of the first stage of labor D) Pelvic phase of the second stage of labor
The effect of decreased PO2 and increased PCO2 on the newborn infant is to:
a. Cause the fetal shunts to close. b. Suppress metabolic processes. c. Promote chest compression and recoil. d. Stimulate the brain to begin respirations.
A new child moved into a neighborhood. The children next door asked him to come over and play. He thanked them but stayed home. Which of the following is an explanation for the child's behavior?
a. He came from a violent neighborhood where children never played outdoors. b. He does not believe he knows the next door kids well enough yet. c. His mother works and does not want to be asked to take a turn babysitting. d. He has to take care of an ill family member after school.