A patient was admitted for AAA with a pulsating abdominal mass. The nurse notes a sudden onset of diaphoresis, decreased level of consciousness, a blood pressure of 88/60 mm Hg, and an irregular apical pulse. Oxygen is in place via mask. What is the priority nursing action at this time?
a. Establish IV access.
b. Alert the Rapid Response Team.
c. Auscultate for a bruit and assess the mass.
d. Place the patient on the cardiac monitor.
Answer: b. Alert the Rapid Response Team.
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A psychiatric nurse is working with a teenaged client with low self-esteem. Which client behaviors should the nurse attribute to low self-esteem? Select all that apply
A) Hostility B) Meticulous grooming C) Rumination about his situation D) Complaints of various aches and pains E) Inability to look another person in the eyes
Which of the following methods involves an analysis of total variance, not just common factor variance?
a. Alpha method factor analysis b. Maximum likelihood factor analysis c. Principal axis factor analysis d. Principal components analysis
The skeletal muscles are encased in a connective tissue framework made of:
a. bone. b. epithelium. c. fascia. d. cartilage.
The nurse is preparing for a home visit to complete a newborn wellness checkup. The neighborhood has a reputation for being dangerous. Identify which precautions the nurse should take to ensure her safety (Select all that apply)
a. Having access to a cell phone at all times. b. Visiting alone due to the agency's staffing model. c. Carrying an extra set of car keys. d. Avoiding groups of strangers hanging out in doorways. e. Wearing her usual amount of jewelry.