What is your priority nursing responsibility during the procedure?
a. Reorienting K.L. as needed
b. Monitoring K.L.'s IV fluid intake
c. Assessing K.L.'s VS and oxygen saturation
d. Documenting K.L.'s response to the procedures
c
Patients receiving IV sedation require close monitoring of their cardiopulmonary status because
of the potential for the loss of ability to maintain a patent airway.
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A client with chronic paranoid schizophrenia is scheduled to be discharged from the inpatient psychiatric unit in two days
The nurse is working with the client's family to develop a plan for managing psychotic symptoms and emergency behaviors after discharge. Which of the following nursing diagnoses is most appropriate? 1. Noncompliance: Medication Regimen related to paranoid ideation 2. Self-Care Deficit: Bathing/Hygiene related to irrational thought processes 3. Knowledge Deficit: Symptom Management related to inadequate understanding of disease processes 4. Risk for Violence Directed Toward Others related to delusional and persecutory thought process
The client with a chronic illness asks the nurse what a "living will" is. The nurse's best response explains that this form leaves instructions about:
1. What treatments to omit if one is unable to make these decisions. 2. Who is to make decisions if one is unable to make decisions. 3. Who is to inherit property and belongings after one has died. 4. How the costs of medical care are to be paid after one's death.
The manager of a small clinic has cross-trained the nurses to perform electrocardiogram (ECG) testing, phlebotomy, and some respiratory therapy interventions. This clinic is providing client-focused care. Which are the benefits of this delivery model?
Select all that apply. A) Collaboration among many disciplines in providing client care B) Decreased steps to provide client care C) Decreased personnel required to provide client care D) Ease in tracking client progress E) Cost-effective care resulting in improved outcomes
Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?
a. Native Americans b. Hispanics c. Chinese d. Italians