The nurse is unable to obtain information from the client and knows the BEST secondary source of client information is which of the following?
a. client c. close friends
b. client records d. neighbors
B
Secondary sources are considered to be family members, other health care providers, and medical records.
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Herpetic whitlow is commonly located on:
A. The eyelid B. The scalp C. A finger D. Lip
When collecting a sputum specimen for culture and sensitivity, the nurse demonstrates correct technique for this procedure by which of the following actions?
1. starting prescribed antibiotics one hour prior to specimen collection 2. performing endotracheal suction if the client cannot cough deeply enough to bring up sputum 3. collecting sputum at the end of the day for best results 4. swabbing the back of the throat and placing specimen in a wide-mouth container.
The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse take first?
a. Speak slowly and loudly while facing the patient. b. Obtain a detailed medical history from the patient. c. Perform the physical assessment before interviewing the patient. d. Ask a family member to go home and retrieve the patient's cane.
Order: NS 1,500 mL IV at 125 mL/h for 12 hours. Since the drop factor is 20 gtt/mL, the initial flow rate was correctly set at 42 gtt/min. After six hours, 900 mL remain to be infused. The infusion is behind schedule
Compute the new flow rate in gtt/min. so that the infusion will finish on time. If flow rates may not be adjusted by more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead? 1. Contact the prescriber. 2. 45 gtt/min. 3. 21 gtt/min. 4. 50 gtt/min.