The nurse assesses chest expansion in a young adult and finds it to be 8 cm. The nurse documents this as which of the following?
A) Limited expansion
B) Normal expansion
C) Hypoexpansion
D) Hyperexpansion
B
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A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?
a. Auditing staff members' hand hygiene practices b. Ensuring clients are placed in appropriate isolation c. Establishing a policy to remove urinary catheters quickly d. Teaching staff members about infection control methods
While administering vancomycin IV to a patient, the nurse suspects that the patient is developing red-man syndrome based on assessment of which of the following? Select all that apply
A) Headache B) Throbbing neck pain C) Chills D) Erythema of the neck and back E) Difficulty breathing
Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication?
a. Take the medication with food or crack-ers. b. Refrain from sexual relations for 4 weeks. c. Follow up to determine if the treatment was effective. d. Keep the medication in the refrigerator.
You have collected extensive data and you have decided that your client has ADHD (attention deficit hyperactivity disorder). You are weighing potential actions to take to help this child. In posing alternative solutions, you are using which thinking skill
1. total recall 2. habit mode 3. critical thinking 4. thinking about thinking