A nurse is documenting a blood pressuer of 120/80 mm Hg. The nurse itermprets the 120 to represent which of the following?
a. pulse rate
b. diastolic pressure
c. systolic pressure
d. pulse deficit
Ans: c. systolic pressure
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Rheumatoid arthritis is distinguished from osteoarthritis in that:
a. Rheumatoid arthritis is an autoimmune, systemic disease; osteoarthritis is a degenerative disease of the joints. b. Rheumatoid arthritis is an autoimmune, degenerative disease; osteoarthritis is a systemic inflammatory disease. c. People with osteoarthritis are considered to be genetically predisposed; there is no known genetic component to rheumatoid arthritis. d. Osteoarthritis is often caused by a virus; viruses play no part in the pathogenesis of rheumatoid arthritis.
What should the nurse keep in mind when determining the relationship between pain and sleep in an older patient?
A) Nonpharmacologic measures to control pain and enhance sleep are preferable to analgesics. B) Analgesic drugs should be administered to older adults to prevent potential episodes of pain. C) Older adults are more sensitive to pain than younger adults, and more at risk of having pain interfere with sleep. D) The availability of alternative forms of pain control such as massage and diversion means that pharmacologic pain medications are inappropriate and unnecessary.
A newly licensed nurse complains to the preceptor about the amount of time spent documenting in the medical record. What is the preceptor's best response?
1. "The most important reason we document is to help us communicate the patient's condition to the rest of the health care team." 2. "Since you just took a course in nursing research, you should realize the value of accurate documentation as a source of research data." 3. "We have to document so that charges are clear to third-party payers." 4. "The medical record protects us if a lawsuit is filed."
What specific points would you include regarding managing insulin therapy? Select all that apply
a. Store unused insulin in the freezer. b. The insulin can be used if it is yellow but not expired. c. Administer the lispro (Humalog) within 15 minutes of eating. d. Ideally, the glargine (Lantus) should be administered at bedtime. e. Always administer the injections in the same, easy-to-reach location. f. The current vial of lispro (Humalog) can be kept at room temperature for 1 month. g. Two injections will be needed to administer lispro (Humalog) and glargine (Lantus).