While caring for a patient who is receiving oxygen therapy for pneumonia, what should the nurse assess to determine if the patient is hypoxic?
A) Restlessness
B) Cold hands
C) Confusion
D) Noncompliance
Ans: C
Feedback: The effectiveness of the patient's oxygen therapy is assessed by the arterial blood gas analysis or pulse oximetry. Presence or absence of cyanosis, the patient's respiratory rate, and depth or level of consciousness are not good indicators of oxygen effectiveness.
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a. pH 5.6 b. Ketone bodies present c. Specific gravity of 1.020 d. Clear and yellow color
When providing written discharge instructions, which information should the nurse include? (Select all that apply.)
a. When to resume normal activity b. Signs and symptoms to report c. A list of probable complications d. The telephone number of the surgeon's office e. The need to delay driving and decision making
A study was conducted to evaluate shivering in the postoperative patient. The study measures subjects' weight in pounds and temperature in centigrade degrees. What should the reader consider about the level of measurement of these two parameters?
1. Temperature is measured at ratio level. 2. Weight is usually consider to be measured at the ratio level. 3. Both of these measurements are at interval level. 4. Additional information is needed before any determination of level of measurement can be made.
The electrical activity of the patient's heart is being continuously monitored while he is on the coronary care unit. Suddenly, the nurse finds that the patient is experiencing ventricular fibrillation
Which of the following actions should the nurse prepare to take? a. Administer atropine. b. Prepare for CPR and defibrillation. c. Prepare the patient for surgical placement of a pacemaker. d. Instruct the patient to perform the Valsalva manoeuvre.