Your supervising nurse has asked you to take an apical pulse for a new patient admitted with heart disease. How do you take this pulse accurately?
A. Locate the pulse on the inside of the patient's wrist and count for 30 seconds.
B. Use a stethoscope to listen at the apex of the patient's heart and count for 1 minute.
C. Locate the pulse on the side of the patient's neck and count for 1 minute.
D. Ask a co-worker to help you check the radial and apical pulses at the same time.
Answer: B
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A nurse is caring for an older adult who has a gastrostomy tube. The nurse is developing a care plan related to oral care. Which of the following should the nurse consider for this patient? (Se-lect all that apply.)
a. Oral care should be provided every four hours. b. Teeth should be brushed with a toothbrush after each tube-feeding. c. Lemon glycerin swabs should be used in between feedings to keep the mouth moist. d. Foam swabs should be used in place of a toothbrush to clean the teeth after each tube-feeding. e. Oral care should be provided only twice daily if the older adult is edentulous.
A patient is concerned that the disease that has affected his horses will cause him to become ill. What information should the nurse provide?
1. "You will probably contract the same illness but in a milder form." 2. "Many illnesses are species specific. It is not likely that you will contract the same illness as your horses." 3. "All illnesses can be transmitted between animals and humans, so I am glad you came in to be checked." 4. "There are vaccinations against diseases caused by horses. I would talk with the veterinarian."
The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products
a. Continues except when placental functions are reduced b. Increases as blood pressure decreases c. Diminishes as the spiral arteries are compressed d. Is not significantly affected
The nurse is planning the care for a patient admitted with diabetic ketoacidosis. The nurse realizes that the patient's blood glucose level will be best controlled by which of the following?
1. a sliding scale coverage with regular insulin 2. BID dosing of NPH insulin and PRN coverage with regular insulin 3. a once-per-evening dose of Lantus insulin, and daytime coverage with regular insulin 4. a continuous low-dose intravenous infusion of regular insulin