What are the consequences of uncorrected, left-sided heart failure?
A) Distention of the jugular vein C) Right-sided heart failure
B) Effort to lie down to breathe D) Blood congestion in neck veins
C
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The infection control officer is observing hospital staff for appropriate use of aseptic technique. What observation demonstrates the need for more instruction on surgical asepsis?
a. Facing the sterile field b. Placing a sterile dressing on a sterile field c. Touching the edges of the sterile field with sterile gloves d. Keeping gloved hands above the waist
An unidentified patient was injured in a hit-and-run accident and was conscious. When asked how he felt, the patient looked very confused and responded in a language the nurse did not recognize. Which of the following actions should the nurse take next?
a. Look closely at the person, try to determine the patient's ethnic background, and then seek someone fluent in his language b. Report the language barrier to administration, and let them handle the problem c. Tell the unit supervisor so various translators can be brought to the floor until the language is recognized and communication can be established d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking
Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
a. "I need to increase my fat intake and limit protein." b. "I still keep my dentist appointments even though I have partials now." c. "I should discontinue my fitness club membership for safety reasons." d. "I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine."
A patient with a traumatic brain injury is being evaluated for brain death. Which finding should the nurse expect in this patient? Select all that apply.
A. Response to deep stimuli B. Absence of gag or corneal reflex C. Absence of oculovestibular reflex D. Toxic metabolic disorders E. Apnea with PaCO2 of 66 mmHg