A nurse may define a community as a(n) (select all that apply)
a. Social group determined by geographic boundaries
b. Group of people who share common values and interests
c. Group of people defined by their interactions
d. Individual with a specific health concern
ANS: A, B, C
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The nurse has received a child from the emergency department with a diagnosis of decreased level of consciousness secondary to increased intracranial pressure. Which physician's order would the nurse question?
1. Passive range-of-motion exercises 2. Oxygen at 2L nasal cannula to keep saturation above 95% 3. Hourly vital signs and neuro checks 4. Elevate head of bed 30 degrees
Which action is the nurse required by law to perform when a patient is admitted?
a. Notify the family. b. Notify the attorney. c. Ask how payment will be made. d. Ask about advance directives.
A patient is receiving aldesleukin, or interleukin-2 (IL-2), as an immunosuppressant. Which of the following complications may develop during the first 12 hours after the start of the infusion?
a. Capillary leak syndrome b. Bradycardia c. Respiratory depression d. Low core temperature
The nurse is concerned that a patient recovering from a thymectomy is developing a pneumothorax. What did the nurse assess to cause this concern?
Select all that apply. 1. shortness of breath 2. decreased breath sounds 3. sudden onset of chest pain 4. coughing pink-tinged mucous 5. pain level 5 on a scale from 0 to 10