When taking the pulse of a child under 3 years of age, the nurse will use which of the following sites? Standard Text: Select all that apply
1. Radial
2. Apical
3. Carotid
4. Brachial
5. Pedal
2,3,4
Rationale: Radial is not routinely used for infants.
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A homeless individual with severe mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at the community mental health center
Which intervention should be the team's initial priority? a. Educate him about the importance of treatment adherence. b. Help him obtain employment in a local sheltered workshop. c. Interact regularly and supportively without trying to change him. d. Teach appropriate health maintenance and prevention practices.
The nurse is working within the fourth step of the nursing process, or implementation, which involves:
a. validating and organizing data. b. analyzing and labeling data. c. identifying goals and outcomes for the client. d. performing or delegating nursing activities.
A client with third-degree heart block is admitted to the telemetry unit. The nurse observes wide QRS complexes on the monitor with a heart rate of 35 beats/min. What priority assessment does the nurse perform?
a. Pulmonary auscultation b. Pulse strength and amplitude c. Level of consciousness d. Mobility and gait stability
The nurse implements the following measures for a patient with rheumatic fever: turn, cough, deep breathe, elevate head of bed, instruct on use of incentive spirometry
On which parameters would the nurse assess the effectiveness of the nursing interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Urine output 2. Arterial blood gases 3. Potassium level 4. Lung sounds 5. Orientation