The nurse is providing postmortem care to a client who died 2 hours ago. As the nurse turns the client to clean the body, the client elicits a respiratory type sound. What steps would the nurse take next?
A) report to the physician the client is still breathing
B) reposition the client airway
C) continue with the postmortem care
D) check for a pulse
C
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A community health nurse is conducting a workshop for adults who have hypertension and is now teaching participants about reading food labels when they are shopping at the supermarket. What teaching point should this nurse prioritize?
A) "Take particular note of the amount of sodium that a serving contains." B) "Try to buy foods that have a high ratio of fiber to carbohydrates." C) "If a food has ingredients that you can't pronounce, it's best to avoid it." D) "Look at the percentage of the daily recommended intake of vitamins that is in a serving."
The nurse is aware that the older adult is a greater surgical risk because the older adult has: (Select all that apply.)
a. fewer physiologic reserves. b. more probability of a chronic illness. c. more vulnerability to fluid loss. d. less tolerance for pain. e. less psychological stamina.
Anaphylactic shock is a:
1. Type I reaction, called immediate hypersensitivity reaction 2. Type II reaction, called cytotoxic hypersensitivity reaction 3. Type III allergic reaction, called immune complex hypersensitivity 4. Type IV allergic reaction, called delayed hypersensitivity reaction
A medication is prescribed for the patient and is to be administered by IV bolus injection. Which of the following is a priority for the nurse before administering the medication via this route?
a. Set the rate of the IV infusion. b. Check the patient's mental alertness. c. Confirm placement of the IV line. d. Determine the amount of IV fluid to be administered.