Which of these phrases BEST describes an emergency within the context of health care?
a. a sudden disruption in normal functioning with serious consequences
b. a disturbance in homeostasis that prevents normal body activity
c. a medical condition requiring immediate intervention
d. a health care crisis occurring when normal care procedures cannot be carried out
C
An emergency within the context of health care is a medical condition requiring immediate intervention. Clients and families define an emergency according to their own perceptions.
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The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement?
a. "Lymph flow is propelled by the contraction of the heart." b. "The flow of lymph is slow, compared with that of the blood." c. "One of the functions of the lymph is to absorb lipids from the biliary tract." d. "Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream."
A palpable rushing vibration over the base of the heart at the second intercostal space is called a:
a. heave. b. lift. c. thrill. d. thrust.
The nurse teaches the patient about digoxin (Lanoxin) toxicity and determines that learning has occurred when the patient makes which statement(s)?
1. "I should limit my fluids while taking this medication." 2. "It is okay to keep taking my ginseng." 3. "If I have nausea, it means I must stop the medication." 4. "I can drink orange juice every morning." 5. "I must check my pulse and not take the medication if it is less than 60."
The nursing assistant prevents pressure ulcers by
A. turning the patient at least every 4 hours. B. using very warm water and friction for bathing. C. avoiding pressure, shearing, and friction. D. assisting the patient to be in the chair instead of the bed.