Assessment of 24-year-old driver after an automobile accident, who is complaining of right-sided chest pain and is dyspneic, reveals the following:
• Respirations: 26 breaths/min • Significant pain on inspiration • Hand is pressed to the rib area; large bruise is forming on the right chest • Blood pressure: 182/98 mm Hg Based on these assessments, the nurse suspects _____. Fill in the blank(s) with correct word
fractured ribs
The placement of the bruise and the pain on inspiration are the main clues to the rib fracture.
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A patient with heart failure has been started on an ACE inhibitor. What lab value related to the ACE inhibitor would concern the nurse?
A) Elevated serum potassium B) Elevated CK-MB C) Diminished sodium D) Increased prothrombin time
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of _____ years
ANS:
A critical action by the nurse caring for a patient with an acute exacerbation of polycythemia vera is to
a. place the patient on bed rest. b. administer iron supplements. c. avoid use of aspirin products. d. monitor fluid intake and output.
Which statement most accurately describes how a nurse manager would positively motivate a nurse who seems unhappy and is deliberately damaging unit morale?
1. The nurse should be separated from those individuals most affected by the damaging remarks or actions. 2. The nurse manager should discourage further damage to the unit morale, by discussing the nurse's issues in private. 3. The nurse should be allowed to continue working, but must attend a class on positive motivation. 4. The nurse manager should ask the individual to facilitate a task force assessing needed changes in the unit.