A postoperative patient is admitted with the following vital signs: 37.6° C, P96, R16, 140/90 mm Hg. If the patient is scheduled for a dose of opioid, which of the vital sign parameters would require an immediate intervention?
A. Pulse rate of 110
B. Temperature of 38° C
C. Respiratory rate of 10
D. Blood pressure of 160/86 mm Hg
Answer: C. Respiratory rate of 10
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Which information obtained by the nurse about an older adult who complains of occasional insomnia indicates a need for patient teaching (select all that apply)?
a. Drinks a cup of coffee every morning with breakfast b. Has a snack every evening 1 hour before going to bed c. Likes to read or watch television in bed on most evenings d. Usually takes a warm bath just before bedtime every night e. Occasionally uses diphenhydramine (Benadryl) as a sleep aid
A nurse is caring for a visually impaired 20-month-old who has not begun to walk. An appropriate nursing diagnosis for this child would be
1. delayed growth and development. 2. impaired physical mobility. 3. self-care deficit. 4. impaired home maintenance.
The nursing diagnosis most likely to be applicable for a person who has schizophrenia, paranoid type, is:
a. social isolation related to impaired ability to trust. b. impaired mobility related to fear of losing control of hostile impulses. c. fear of being alone related to lack of confidence in significant others. d. impaired memory related to poor information processing associated with brain deficits.
The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which statement(s)?
1. "The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours." 2. "Our local hospital is supposed to be stockpiling antibiotics." 3. "The push package can reach any community within 12 hours of an attack." 4. "The Strategic National Stockpile is located at the Centers for Disease Control and Prevention (CDC) in Atlanta." 5. "Our country's drug stockpile is managed by the Centers for Disease Control and Prevention (CDC)."