What Is the Nurse's Highest Priority When Caring for a Patient

question 5

Multiple Choice

What is the nurse's highest priority when caring for a patient after a TCA overdose?

• A) Frequently monitor blood pressure and heart rate/rhythm.
• B) Monitor for skin rashes, particularly on the torso.
• C) Measure and record intake and output every 12 hours.
• D) Institute cooling blankets for hyperthermia.

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Definitions:

Detectable Input

A level of stimulus that is sufficient to be noticed or detected by the sensory systems.

Wavelength

The distance between successive crests of a wave, usually used in the context of electromagnetic waves.

Amplitude

The magnitude or extent of change in a variable, often used in the context of waves to describe their height or intensity.

Visual Cortex

The part of the cerebral cortex that processes visual information, located in the occipital lobe of the brain.