Author Question: What should the nurse anticipate might happen to a patient if bleeding cannot be controlled? a. ... (Read 53 times)

jho37 · **on:** Jul 24, 2018

What should the nurse anticipate might happen to a patient if bleeding cannot be controlled?

a. Skin dryness
b. Bradycardia
c. Hypovolemic shock
d. Hypertension

Question 2

The patient is found to have impacted cerumen in his ear canal. The nurse most likely will:

a. instill 1 to 2 drops of mineral oil.
b. instill the irrigation under pressure.
c. occlude the ear canal when irrigating.
d. straighten the ear canal.

l.stuut · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
Findings of tachycardia, hypotension, diaphoresis, restlessness, and diminished urinary output indicate impending hypovolemic shock. Bradycardia is a decreased pulse rate. Dry skin is not an indicator of hypovolemic shock. Hypertension is an increase in blood pressure.

Answer to Question 2

A
If the patient is found to have impacted cerumen, instill 1 to 2 drops of mineral oil or over-the-counter softener into the ear twice a day for 2 to 3 days before irrigation, to loosen cerumen and ensure easier removal during irrigation. The greatest danger during administration of ear irrigation is rupture of the tympanic membrane. Fluids must not be instilled under pressure or with the irrigating device occluding the ear canal. Always attempt to remove foreign objects in the ear by first simply straightening the ear canal. Cerumen, however, is wax buildup and is not a foreign object.