Temperature, pulse, respirations, and blood pressure are:
a. Basic needs
b. Vital signs
c. Measurements
d. Observations
B
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During a routine physical examination, the nurse palpates the patient's left kidney just below the costal margins on the posterior aspect of the trunk. What is the most appropriate nursing action?
A) Document this normal finding. B) Obtain an order for renal diagnostics. C) Assess for toxic ingestion. D) Evaluate coagulation studies.
The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply
A) Drop in systolic blood pressure of ?40 mm Hg from baselines B) Hypotension that responds to bolus fluid resuscitation C) Exaggerated response to vasoactive medications D) Serum lactate >4 mmol/L E) Mean arterial pressure (MAP) of ?65 mm Hg
When suspecting a diagnosis of cystic fibrosis, the nurse would expect which of the following priority tests to be ordered?
A) Sweat chloride concentration test B) Pulse oximetry C) Arterial blood gas (ABG) analysis D) Electrolyte panel
The nurse truly wants to learn more about the patient's culture in order to improve the quality of care delivered. What component of cultural competence is this nurse displaying?
1. Cultural awareness 2. Cultural desire 3. Cultural knowledge 4. Cultural skill