The nurse is preparing to provide oral care to an unconscious client. The priority nursing action is:
1. Rinse the mouth
2. Position the client
3. Don gloves
4. Inspect and clean the oral tissues
2
Rationale: Rinsing the mouth by injecting about 10 ml of water is to remove traces of toothpaste; this is not the priority nursing actions
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What is the least amount of sensation that one perceives as pain?
a. Tolerance b. Threshold c. Level d. Abatement
The theory of utilitarianism states that an ethical decision is based on the greatest good for the greatest number of people. This theory often leaves out which of the following groups?
1. Elderly people 2. Those who are in a minority 3. Patients who, for the most part, can independently care for themselves 4. Certain ethnic groups
The perinatal nurse caring for Emily, a 24-year-old mother of an infant born at 26 weeks gestation, is providing discharge teaching. Emily is going to travel to the specialty center approximately 200 miles away where her daughter is receiving care
The nurse tells Emily that it is normal for Emily to feel: Select all answers that apply: A) In control B) Anxious C) Guilty D) Overwhelmed
The client is experiencing an episode of hypoglycemia. The nurse understands that the physiological mechanism that should take place to combat this decrease in the blood glucose level is:
1. Decreased cortisol release 2. Increased insulin secretion 3. Decreased epinephrine release 4. Increased glucagon secretion