random
A client is admitted to undergo lumbar laminectomy for treatment of a herniated disk. Which action should the nurse take first to promote comfort preoperatively?
help the client assume a more comfortable position
The nurse is caring for a client who is suspected to have overdosed on opioids. Assessment findings include a heart rate of 60 beats/minute, respiratory rate of 6 breaths/minute, a blood pressure of 95/55 mmHg, and an oxygen saturation of 96% on room air. Based on the assessment findings, what is the nurse's priority concern?
hypercapnic respiratory failure
In the first 12 hours after starting a patient-controlled analgesia (PCA) infusion to administer an opioid, what should the nurse monitor every 1 to 2 hours? Select all that apply.
level of sedation oxygen saturation vital signs
A young adult is admitted to the emergency department after an automobile accident. The client has severe pain in the right chest from contact with the steering wheel. What should the nurse do first?
maintain adequate oxygenation
furosemide
potassium replacement medication needed. loop diuretic
Spironolactone
potassium sparing diuretic.decrease food high in potassium
The client has just undergone abdominal surgery and returned from the post-anesthesia care unit (PACU) with a patient-controlled analgesia (PCA) pump. Which interventions should the nurse implement? Select all that apply.
tell the client to push the button when in pain check the PCA settings with another nurse assess the iv insertion site
While providing palliative care to a client in the home setting, the client's family expresses concern that the client is receiving "too much narcotic medication." Which statement is the mosttherapeutic response by the nurse?
you are concerned that the client is getting too much medication?
A client post-epidural infusion received naloxone 0.2 mg intravenously 20 minutes ago. The client's respiratory rate was 6 breaths per minute and is now 10 breaths per minute. Which intervention should the nurse perform first?
assess the clients neurological status
loop diuretic
removes water, sodium and potassium, leading to hypokalemia, hyponatremia, hypovolemia
The student nurse is learning how to administer medications. The nurse instructor asks, "What are the client's rights when administering medication?" What are the most appropriate response(s) by the student? Select all that apply.
right to refuse right time or frequency right assessment
A client is admitted to the health care facility with acute chest pain. When obtaining the client's health history, which question would be most helpful for the nurse to ask?
what were you doing when the pain started?