A patient newly admitted to the intensive care unit reports that she has not been sleeping well at home. The nurse would conduct assessment for which preexisting conditions?
1. Taking a beta blocker
2. Use of a bronchodilator
3. Snoring
4. Hypothyroidism
5. Alcoholism
1, 2, 3, 5
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The nurse admits a client who has fallen from a ladder to the Emergency Department with a deep wound on the leg. There is a blood-saturated pressure dressing on the wound
The nurse assesses the client and finds a heart rate of 128, respirations of 30, and blood pressure of 92/50. The priority action by the nurse at this time is which of the following? 1. Notify the physician immediately. 2. Reinforce the pressure dressing and elevate the extremity. 3. Remove the pressure dressing, assess the wound, and apply a new dressing. 4. Start an IV line for the administration of fluids.
A nurse observes a 3-year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse determine that this child has completed?
1. Learning to count on others2. Learning to delay satisfaction3. Identifying oneself4. Developing skills in participation
To practice culturally competent care you need to ______.
a. understand your own views and beliefs b. have completed an international placement c. apply a transcultural nursing model d. speak the same language as the patient
The nurse is caring for a client who is receiving albumin (Albuminar). The nurse anticipates the need to monitor for an excess of what substance?
1. Protein 2. Sodium 3. Calcium 4. Potassium