The nurse is documenting on a patient with a respiratory problem. Which patient datum documented by the nurse is the least objective?
a. Cool and dusky skin
b. Low flow rate oxygen
c. 30 breaths per minute
d. Very restless and drowsy
B
Low flow rate oxygen is the least objective datum and the datum most subject to interpretation because the quantity of oxygen is not as precise as "liters/minute" or the "percentage" of oxygen. The remaining options provide more verifiable data.
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A teenage boy has been brought by ambulance to the emergency department from a house fire in which he has suffered extensive injuries. In addition to burns, early blood tests reveal carbon monoxide poisoning
This assessment finding will be treated by what intervention? A) Administration of 100% oxygen B) Intubation and administration of bronchodilators C) Deep suctioning D) Incentive spirometry
An older adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?
a. Notify the physician immediately to rule out cranial nerve damage. b. Perform testing on the vestibulocochlear nerve and a hearing test. c. Schedule the patient for an appointment at a smell and taste disorders clinic. d. Explain to the patient that diminished senses are normal findings.
The director of a nursing home has decided to institute ergonomic programs in the facility because these programs increase employee satisfaction and have been shown to
a. Be ineffective in reducing injury. b. Be cost neutral in budgeting. c. Enhance recruitment. d. Decrease retention rates.
The nurse is teaching the significance of good nutrition on fetal development to a group of young women. Factors discussed will include: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Vitamins and folic acid are important before conception. 2. A high-fat diet is essential to fetal development. 3. Glucose, amino acids, and fatty acids are of high importance. 4. Nutrition is important only during the first trimester. 5. Complex carbohydrates and proteins are the only essential nutrients needed for fetal development.