A patient is admitted to the emergency department with an open stab wound to the left chest. What action should the nurse take?
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After an unimmunized individual is exposed to hepatitis B th…
After an unimmunized individual is exposed to hepatitis B through a needle-stick injury, which actions will the nurse plan to take (select all that apply)?
Following an acute myocardial infarction, a previously healt…
Following an acute myocardial infarction, a previously healthy 63-yr-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about
While caring for a patient who has been admitted with a pulm…
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient’s oxygen saturation (SpO2) from 94% to 88%. Which action should the nurse take?
To detect possible complications in a patient with severe ci…
To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices, it is most important for the nurse to monitor
A patient with idiopathic pulmonary arterial hypertension (I…
A patient with idiopathic pulmonary arterial hypertension (IPAH) is receiving nifedipine (Procardia). Which assessment would best indicate to the nurse that the patient’s condition is improving?
When taking the blood pressure (BP) on the right arm of a pa…
When taking the blood pressure (BP) on the right arm of a patient with severe acute pancreatitis, the nurse notices carpal spasms of the patient’s right hand. Which action should the nurse take next?
The nurse knows that discharge teaching about the management…
The nurse knows that discharge teaching about the management of a new permanent pacemaker has been most effective when the patient states
During a visit to a 78-yr-old patient with chronic heart fai…
During a visit to a 78-yr-old patient with chronic heart failure, the home care nurse finds that the patient has ankle edema, a 2-kg weight gain over the past 2 days, and complains of “feeling too tired to get out of bed.” Based on these data, a correct nursing diagnosis for the patient is
A patient complains of difficulty falling asleep and daytime…
A patient complains of difficulty falling asleep and daytime fatigue for the past 6 weeks. What is the best initial action for the nurse to take in determining whether this patient has chronic insomnia?