The nurse is caring for a patient in the late stage of Alzheimer's disease who is noncommunicative. The nurse suspects the patient is experiencing pain based on what assessment findings? Select all that apply
a. Rapid blinking
b. Labored breathing
c. Reduced respiratory rate
d. Nighttime wakefulness
e. Restlessness
ANS: A, B, E
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The nurse is caring for a patient undergoing intra-aortic balloon pump (IABP) counterpulsation. What patient symptom most requires immediate nursing intervention?
A) Patient complains of stiffness in insertion leg. B) Mean arterial blood pressure is increased by 10 points. C) Balloon is inflating during ventricular systole. D) Cardiac output is increased by 3 L/min.
A patient's carcinoembryonic antigen level was initially 16 ng/mL. The level is currently 6 ng/mL. What does the nurse realize this decreased level indicates for the patient?
1. The patient's treatment for cancer is effective. 2. The patient's treatment for cancer is not effective. 3. The patient has a new site of cancer. 4. The patient's cancer has metastasized.
The nurse is preparing to indirectly percuss a patient's kidneys. In which order should the nurse perform this assessment?
1. Stand behind the patient. 2. Curl the dominant hand into a fist. 3. Assist the patient to a sitting position. 4. Place nondominant hand over the costovertebral angle. 5. Strike the back of the nondominant hand with the dominant hand.
Match each term with the correct phrase
74. _______pathogen 75. _______ an effective method of asepsis 76. _______infection 77. _______ medical asepsis 78. _______sterile 79. _______ disinfect a. freedom from disease-producing microorganisms b. hand washing c. preventing conditions that allow disease-producing microorganisms to live and spread d. tiny, living organisms, sometimes called germs e. to destroy as many harmful bacteria as possible f. invasion of the body by disease-producing microorganisms