The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the nurse need to collaborate when caring for this client?

A) Measuring vital signs
B) Measuring intake and output
C) The client's recent eating behaviors
D) Identifying current oxygen saturation level


Answer: C

For clients in severe distress, family members may need to be consulted for critical information such as recent eating habits and history of vomiting. Measuring vital signs is an independent nursing action. Measuring intake and output is an independent nursing action. Identifying current oxygen saturation level is an independent nursing action.

Nursing

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When obtaining a health history from a patient with a neurological problem, the nurse is likely to elicit the most valid response from the patient with which question?

a. "Do you have any sensations of pins and needles in your feet?" b. "Does the pain radiate from your back into your legs?" c. "Can you describe the sensations you are having in your head?" d. "Do you ever have any nausea or dizziness?"

Nursing

The school of nursing uses the process of debriefing after simulations as a method of evaluating learning. Which must occur for this method to be valid and effective?

A) Completed by a member of the student's peer group B) Calculated against the student's test scores and papers C) Conducted by a person who was attentive during the simulation D) Correlated with the student's opinion of the virtual learning environment

Nursing

How should the nurse dispose of a contaminated needle after administering an injection?

a. Place the needle in a specially marked, puncture-proof container. b. Recap the needle, and carefully place it in the trashcan. c. Recap the needle, and place it in a puncture-proof container. d. Place the needle in a biohazard bag with other contaminated supplies.

Nursing