In caring for a client with vasovagal syncope, the nurse should know that the associated temporary loss of consciousness is most commonly related to
A. vestibular dysfunction.
B. sudden vascular fluid shifting.
C. postural hypotension.
D. bradyrhythmia.
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Which of the following describes how the nurse interprets a neonate's Apgar score of 8 at 5 minutes
A neonate who is in good condition.
B. A neonate who is mildly depressed.
C. A neonate who is moderately depressed.
D. A neonate who needs additional oxygen to improve the Apgar score.
The nurse is assessing the puncture site of a client who has received a purified protein derivative test. Which finding indicates a need for further evaluation
A. 15-mm induration.
B. Reddened area.
C. 10-mm bruise.
D. Blister.
A client is experiencing an early postpartum hemorrhage. Which action is inappropriate
A. Inserting an indwelIing urinary catheter.
B. Fundal massage.
C. Administration of oxytoxics.
D. Pad count.
A client reports substernal chest pain. Test results show electrocardiograph changes and an elevated cardiac troponin level. Which of the following should be the focus of nursing care
A. Improving myocardial oxygenation and reducing cardiac workload.
B. Confirming a suspected diagnosis and preventing complications.
C. Reducing anxiety and relieving pain.
D. Eliminating stressors and providing a nondemanding environment.