Following abdominal surgery, a patient reports sudden onset of sharp, stabbing chest pain that worsens with deep breathing. The nurse observes that the patient is tachypneic, appears anxious, and has a low-grade fever. Based on these symptoms, which of the following complications should the nurse suspect first? A) Atelectasis B) Pulmonary embolism C) Wound infection D) Myocardial infarction
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A) Atelectasis
B) Pulmonary embolism
C) Wound infection
D) Myocardial infarction
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- A patient with a history of myocardial infarction complains of chest pain radiating to the left arm. Which action should the nurse take first? a) Administer oxygen b) Obtain an ECG c) Administer aspirin d) Administer nitroglycerin.What is a critical factor in the care of a patient with a do not resuscitate (DNR) order? A) Ensuring all staff are aware of the DNR status B) Withholding all medications and treatments C) Ignoring the patient’s comfort needs D) Encouraging family to reconsider the decisionFor a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the day
- During therapy with azathioprine (Imuran), the nurse must monitor for which common adverse effect? a )Bradycardiab )Diarrheac )Vomitingd )ThrombocytopeniaBefore initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition?a) Hypertensionb) Liver diseasec) Pancreatitisd) AsthmaWhich of the following interventions should the nurse prioritize when caring for a patient with a suspected tension pneumothorax? a) Administering supplemental oxygen b) Administering intravenous fluids c) Performing needle decompression d) Assisting with chest tube insertion.
- The nurse is monitoring a patient -ho is receiving antithrombolytic therapy in the emergency department because of a possible MI. Which adverse effect -ould be of the greatest concern at this time? a )Dizzinessb )Blood pressure of 130/98 mm Hgc )Slight bloody oozing from the IV insertion sited )Irregular heart rhythmThe nurse is giving a cholinergic-blocking drug and will assess the patient for which contraindications to these drugs?a) Chronic bronchitisb) Peptic ulcer diseasec) Irritable bowel syndromed) Benign prostatic hyperplasiaIf extravasation of an antineopastic medication occurs, which intervention wi the nurse perform first?a )Appy cod compresses to the site whie eevating the arm.b) Inject subcutaneous doses of epinephrine around the IV site every 2 hours.c )Stop the infusion immediatey whie eaving the catheter in pace.d )Inject the appropriate antidote through the IV catheter
- The nurse will monitor the patient who is taking a muscle relaxant for which adverse effect?a )CNS depressionb) Hypertensionc) Peripheral edemad )Blurred visionBeck's triad is a set of clinical signs associated with: a) Tension pneumothorax b) Cardiac tamponade c) Acute heart failure d) Aortic dissectionA client fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include a) hyperactive bowel sounds. b) elevated temperature and presence of erythema at incision site. c) ecchymosis and edema at incision site. d) complaints of activity intolerance. asap please.