The patient's pre-operative blood pressure was 120/68 mmHg. On admission to the Post Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after admission, the patient's blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the skin appears warm and dry. The most appropriate action by the nurse at this time is to:
A patient is to receive 2.5mg of morphine sulfate. The ampoule contains l000mcg/mL. How much morphine should the nurse administer?
Salem has Alzheimer’s disease. He is agitated and repeatedly asks to go home. The most appropriate nursing intervention for him is to:
Immediately after a craniotomy for head trauma, the nurse must monitor the drainage on the dressing. Which of the following should be reported?
The nurse plans the care for a patient with increased intracranial pressure, she knows that the best way to position the patient is to:
A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The appropriate action would be to:
Pain management for terminally ill patients is most effective when analgesics are given:
A patient with a central venous line develops sudden clinical manifestations that include a decrease in blood pressure, an elevated heart rate, cyanosis, tachypnea, and changes in mental status. Which of the following is the most likely cause of these symptoms?
A patient is ordered 75mg of pethidine which comes in an ampoule of 100mg/2ml. What would the nurse do with the remaining pethidine after drawing up the required dose?
To promote accuracy of self-monitoring blood glucose by patients the nurse should:
To ensure safe practice during defibrillation, the nurse must:
During the initial pain assessment process, the nurse should:
A patient requires tracheal suctioning through the nose. Which of the following nursing action would be incorrect?
Collection urine bag should be emptied as necessary and at least every 8 - 9 hours to prevent:
While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:
When taking care of a patient who has undergone open reduction and internal fixation of a fractured left tibia, the nurse should keep the leg:
A patient is admitted to the emergency department with a possible allergic reaction to a bee sting. What is the first action the nurse should take?
The mother of a child with nephrotic syndrome asks why her child must be weighed each morning. The nurse's response should be based on the fact that this is important to determine the:
When caring for a patient with acute pancreatitis, the patient is most likely to complain of pain which is:
The patient has a nursing diagnosis of altered cerebral tissue perfusion related to cerebral edema. An appropriate nursing intervention for this problem is to:
The best dietary advice a nurse can give to a woman diagnosed with mild pregnancy-induced hypertension is to:
A medication was ordered by a physician. The nurse believes the medication dose is incorrect. What should the nurse do next?