In assessing the circulatory system of an older adult, the nurse would recognize which of the following as abnormal?
a. resting pulse rate of 120
b. blood pressure of 118/78
c. respirations of 26
d. a and c
D
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On entering the room of a child in Buck's traction, the nurse makes all of the following observations. Which observation requires a nursing intervention?
a. Child's heels are placed firmly against the foot of the bed. b. Head of bed is elevated 20 degrees. c. Weights are hanging freely. d. Ropes are on pulleys.
The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan
Which of the following characteristics of the nursing process most represents this decision? a. Organization b. Dynamics c. Adaptability d. Outcome orientation
The nurse observes abdominal breathing in a 2-year-old child. What does this finding indicate?
a. Imminent respiratory failure b. Hypoxia c. Normal respiration d. Airway obstruction
A neonatal nurse who encourages parents to hold their baby and provides opportunities for Kangaroo Care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
1. Attachment 2. Assimilation 3. Centration 4. Resilience