If the number in the target place value is 5 or more, the number can be rounded up one unit
Indicate whether the statement is true or false
TRUE
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A client with a known abdominal aortic aneurysm reports dizziness and severe abdominal pain. The nurse assesses the client's blood pressure at 82/40 mm Hg. What actions by the nurse are most important? (Select all that apply.)
a. Administer pain medication. b. Assess distal pulses every 10 minutes. c. Have the client sign a surgical consent. d. Notify the Rapid Response Team. e. Take vital signs every 10 minutes.v
The nurse documents that the client's respirations are shallow and rapid with a rate of 30 breaths per minute. Based on these assessment findings, which conclusion by the nurse is the most appropriate?
1. Client fatigue. 2. Client anxiety. 3. Normal client finding. 4. Client boredom.
Toni, diagnosed with bipolar disorder, is currently in the mania stage. The staff noted that Toni has placed her lipstick on in an exaggerated way
She is currently pacing the floor and is easily angered. The duty nurse approaches in an attempt to ease some of Toni's behaviors. The most therapeutic response by the nurse would be: A. Would you like to watch TV? B. Would you like me to talk with you? C. Let's walk and talk D. Avoid giving attention to the patient by not responding to her behavior
Which action does the nurse avoid after administering a thrombolytic drug?
a. Administering IV drugs b. Using electric razors c. Providing a soft toothbrush d. Giving an intramuscular injection