The nurse instructs the presurgical patient that hypothermia may occur during surgery due to: (Select all that apply.)
a. warm atmosphere of the operating room.
b. infusion of cool IV fluids.
c. inhalation of cool anesthetic gases.
d. exposure of body surfaces.
e. lowered metabolism.
B, C, D, E
The operating room is kept cool to inhibit growth of organisms. All other options listed are po-tential causes of hypothermia in the operating room.
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When the client who had a myocardial infarction develops dependent edema, the nurse would assess that this could be an early manifestation of
a. fluid deficit. b. left ventricular failure. c. renal failure. d. right ventricular failure.
The nurse is assessing an older patient's musculoskeletal status. What should the nurse consider as normal findings for this patient?
Select all that apply. 1. decreased bone mass and minerals 2. increased calcium reabsorption 3. atrophied muscle fibers 4. elongated vertebrae 5. decreased range of motion
Whose responsibility is it to schedule staff?
a. Staff members themselves c. Nurse manager b. Nursing scheduling office d. Director of Nursing
A widow grieving her husband's sudden death tells the nurse, "I'm not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away." Which is the nurse's most appropriate action?
a. Assess for recent substance use. b. Suggest a referral to the mental health clinic. c. Arrange for an evaluation for antidepressant medication. d. Counsel the widow that visualizations are a normal part of grieving.