A patient is admitted for dehydration & SOB caused by pneumonia (PNA). He has a history of heart disease and cardiac dysrhythmias. The nursing assistant tells you his admitting vital signs. Which measurement(s) should you reassess? SELECT ALL THAT APPLY
a. Right arm BP: 120/80.
b. Radial pulse rate: 72 and irregular.
c. Temporal temperature: 37.4°C (99.3°F).
d. Respiratory rate: 28.
e. Oxygen saturation: 90%.
b. Radial pulse rate: 72 and irregular.
d. Respiratory rate: 28.
e. Oxygen saturation: 90%.
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When a nurse is caring for a client with radium implants, which action is MOST important?
a. Assess the radium implant sites once every shift. b. Encourage frequent visitation of the client's close family and friends. c. Organize care to optimize time spent at the bedside. d. Encourage the client to walk around in the room.
The nurse is working with parents of a 6-month-old baby. Both are extremely neat and have talked about the difficult adjustment the baby has brought to their orderly and scheduled lives
In providing anticipatory guidance, the nurse will talk about what it will be like when the child wants to eat semisolid foods. The nurse's most important focus will be a. how messy the child will be during feeding time. b. ways to keep mealtime messes to a minimum. c. the parents' psychological needs and support of each other during this time. d. the child's need to increase autonomy and the importance of self-feeding.
You are caring for a patient with a diagnosis of vulvar cancer who has returned from the PACU after undergoing a wide excision of the vulva. How is pain medication ordered for this patient?
A) Pro-actively B) Preventively C) PRN D) Per request of the patient
Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. Prior to beginning the medication, the nurse would instruct the patient to:
1. take the medication with food or crackers. 2. take with fruit juice or milk. 3. take the medication on an empty stomach. 4. take with a full glass of water.