A pt with a facemask at 5L/min is able to eat. Which nursing intervention is performed at mealtimes?
a. change the mask to a nasal cannula of 6L/min or more
b. have the pt work around the facemask as best as possible
c. obtain a provider order for a nasal cannula at 5L/min
d. obtain a provider order to remove the mask at meals
Answer: c. obtain a provider order for a nasal cannula at 5L/min
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The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery. The nurse understands that this patient will likely:
a. require an antibiotic immediately prior to surgery. b. have difficulty with blood clotting fol-lowing surgery. c. not require a blood transfusion during surgery. d. develop an electrolyte imbalance during surgery.
The nurse is admitting a patient with possible rheumatic fever. Which question on the admission health history will be most pertinent to ask?
a. "Do you use any illegal IV drugs?" b. "Have you had a recent sore throat?" c. "Have you injured your chest in the last few weeks?" d. "Do you have a family history of congenital heart disease?"
Defense mechanisms:
a. involve some degree of self-deception. b. are rarely used by mentally healthy people. c. seldom make the person feel more comfortable. d. are rarely effective in resolving basic conflicts.
A nurse is caring for a patient whose husband died over four years ago. The nurse suspects that the patient has abnormal grief. Which of the assessment findings would support this?
A) Talking about her husband as if he were still alive B) Keeping photos of her husband on her bedside table C) Talking and laughing about the time when he forgot their anniversary D) Crying on the anniversary of his death