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. Raise the head of the bedA patient arrived to the Post Anesthesia Care Unit (PACU) complaining of pain after undergoing a right total hip arthroplasty. Which of the following should the nurse do to assess the patient's level of pain?
A. Determine the patient's position during surgery and how long the patient was in this positionAn 85-year-old man is admitted with dementia. He continuously attempts to remove his nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following actions by the nurse is most appropriate?
A. Evaluate the need to restrain by observing patient's behavior once every 24 hrsThe apical pulse can be best auscultated at the:
A. Left 2nd intercostal space lateral to the mid clavicular lineThe patient with iron deficiency anemia should be encouraged to eat which of the following foods high in iron?
A. EggsDuring balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:
A. Continue the procedure and assure the patientWhile preparing for a kidney biopsy the nurse should position the patient:
A. Prone with a sandbag under the abdomenA male patient with a right pleural effusion noted on a chest X-ray is being prepared for thoracentesis. The patient experiences severe dizziness when sitting upright. To provide a safe environment, the nurse assists the patient to which position for the procedure?
A. Prone with head turned toward the side supported by a pillowThe 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:
A. Nutritional statusThe best time for the nurse to teach an anxious patient about the patient controlled analgesic (PCA) pump would be during which of the following stages of patient care?
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