The nurse caring for a client diagnosed with disseminated intravascular coagulation would expect which of the following assessment findings in this client?
1. Decreased breath sounds, tachycardia, and confusion
2. Increased blood glucose level
3. Thick tenacious bronchial secretions
4. Limited range of motion of right hip
1. Decreased breath sounds, tachycardia, and confusion
Rationale:
Clinical manifestations of disseminated intravascular coagulation include decreased breath sounds, tachycardia, and confusion. Increased blood glucose, thick bronchial secretions, and changes in joint range of motion are not associated with this health problem.
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Which task could be safely delegated by the nurse to the unlicensed assistive personnel (UAP)?
1. Caring of the client with the newly placed cast 2. Explaining to the client how to respond to itching under the cast 3. Caring of the insertion site for Crutchfield tongs 4. Caring of the client with a stable cast
A nurse named in a malpractice case may wish to avoid the expense of a trail by going to arbitration. What is another rationale for using this process?
1. There is no need to have attorney representation. 2. Arbitration is not binding, so if the parties do not like the outcome, nothing is lost. 3. Witnesses do not testify under oath and are easier to obtain. 4. There is no formal record made of the arbitration process.
The nurse is aware that organisms that may be released in a bioterrorism attack because of their high lethality include: (Select all that apply.)
a. Ebola. b. avian flu. c. botulism. d. smallpox. e. tularemia.
A nurse is counseling a client whose genetic test results show a genetic susceptibility for breast cancer. Which of the following would be the most appropriate statement by the nurse?
a. "You should discuss hormone replacement therapy with your physician." b. "You are at an increased risk to develop breast cancer." c. "You should have a bilateral mastectomy as soon as possible." d. "You should tell all of your siblings and children to get tested."