In assessing a patient with a central venous access device, which sign or symptom indicates that the patient is experiencing an air embolism?
a. Chest pain
b. Erythema
c. Frothy sputum
d. Sweating
ANS: A
Chest pain is a symptom associated with air embolism. Erythema occurs with infiltration or extravasation. Frothy sputum occurs with circulatory overload or pulmonary edema. Sweating is indicative of a pulmonary embolism.
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A patient has been living with type 2 diabetes for several years, and the nurse realizes that the patient is likely to have minimal contact with the health care system
In order to ensure that the patient maintains adequate blood sugar control over the long term, the nurse should recommend which of the following? A) Participation in a support group for persons with diabetes B) Regular consultation of websites that address diabetes management C) Weekly telephone "check-ins" with an endocrinologist D) Participation in clinical trials relating to antihyperglycemics
Mr. Porter is a resident at Spruce Harbor Nursing Center. His wife now needs nursing center care. OBRA requires that:
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The nurse caring for newborns on an obstetrical ward assesses a SGA newborn. What characteristics are typical for this classification of newborn? Select all that apply
A) Poor skin turgor B) Tight and moist skin C) Sparse or absent hair D) Narrow skull sutures E) Diminished muscle tissue F) Increased fatty tissue
What finding would the nurse expect to assess in a child with hypothyroidism?
What will be an ideal response?