A pt is receiving a high concentration of oxygen as a temporary emergency measure. Which nursing action is the most appropriate to prevent complications associated with high flow oxygen?
a. auscultate the lungs every 4 hours for oxygen toxicity
b. increase the oxygen if the Pao2 level is less than 93
c. monitor the prescribed oxygen level and length of therapy
d. decrease the oxygen if the pts condition doesn't respond
Answer: c. monitor the prescribed oxygen level and length of therapy
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An older adult who has an MI may not have any chest pain and instead may complain of
a. Nausea and dyspnea b. Severe constipation c. Headache and intense hunger d. Pain in the joints
A nurse cares for a client with burn injuries from a house fire. The client is not consistently oriented and reports a headache. Which action should the nurse take?
a. Increase the client's oxygen and obtain blood gases. b. Draw blood for a carboxyhemoglobin level. c. Increase the client's intravenous fluid rate. d. Perform a thorough Mini-Mental State Examination.
Health promotion is as much a function of nursing as wound care is. As a health care professional, what is a responsibility of a nurse?
A) To promote activities that enhance the community B) To encourage self-awareness C) To promote activities that foster personal fulfillment D) To influence social interactions
As a manager, the development of your decision-making skills related to safe patient care is facilitated by:
a. Regular reflection on decisions. b. A culture of perfectionism. c. Recognition of who should be held responsible for individual errors. d. A culture of trust between the staff and you.