The nurse is caring for a patient in the ICU who has had a spinal cord injury. She observes that his last blood pressure was 100/55, and his pulse is 48. These have both trended downwards from the baseline. What should t
...
The nurse is caring for a patient in the ICU who has had a spinal cord injury. She observes that his last blood pressure was 100/55, and his pulse is 48. These have both trended downwards from the baseline. What should the nurse expect to be the next course of action ordered by the physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG - Answer>>> 2. Administer Normal Saline
Correct - The patient is entering neurogenic shock. Normal saline will replace fluid volume, treating the hypotension and bradycardia symptomatically. Atropine sulfate is also commonly used to increase the heart rate.
In educating clients on ways to manage pain, which topic can be appropriately delegated to a LPN/LVN who will continue under supervision?
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications - Answer>>> 3. Alternating Rest/Activity
Correct - This is within the nursing scope of practice and within the training and education provided to all nurses. It is safe to use and a standard treatment.
A nurse would evaluate which of these patients as appropriate candidates for a closed MRI without contrast, based on the information given?
1. A 20-year old woman who has unexplained joint pain and a low BMI.
2. A 35-year old woman with Multiple Sclerosis and has been trying to conceive.
3. A 67-year old man who has had an open-heart surgery 4 years ago.
4. A 40-year old woman who has been in a hypomanic state for the last 2 days. - Answer>>> 1. A 20-year old woman who has unexplained joint pain and a low BMI.
Correct - MRI can be used to diagnose musculoskeletal disorders, and this patient has no contraindications to an MRI.
[Show More]