Which assessment by an emergency department nurse most indicates that a burn patient might be at risk for respiratory impairment?
a. Burns on the face and neck
b. Respiration of 18 breaths/min
c. Flaring nares
d. Sooty sputum
D
Sooty sputum is the most indicative. Facial burns and flaring nares are not conclusive in them-selves. Respiration rate of 18 breaths/min is normal.
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A patient refuses a dose of medication. How should the nurse document the event?
1) Patient is uncooperative and refuses the prescribed dose of digoxin. 2) Patient refuses the 0900 dose of digoxin. 3) Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin. 4) 0900 dose of digoxin not given.
The nurse is instructing a patient on conducting breast self-examination. What should the nurse include in these instructions? (Select all that apply.)
A) Stand in front of a mirror and place one arm behind the head. B) Lie down and place one arm behind the head. C) Use the finger pads of the three middle fingers of the hand. D) Use one level of pressure to feel all the breast tissue. E) Move in a circular pattern to check the entire breast.
Effleurage is an example of:
a. Thermal stimulation b. Cognitive stimulation c. Cutaneous stimulation d. Relaxation techniques
Clozapine, an atypical neuroleptic, differs from the traditionally used neuroleptics because it is:
a. more effective with some populations than are older classic neuroleptic drugs b. free of nearly every side effect and needs less daily monitoring c. associated with fewer movement disorders d. used with relative safety