After receiving change-of-shift report on a medical unit, which patient should the nurse assess first?
a. A patient with cystic fibrosis who has thick, green-colored sputum
b. A patient with pneumonia who has crackles bilaterally in the lung bases
c. A patient with emphysema who has an oxygen saturation of 90% to 92%
d. A patient with septicemia who has intercostal and suprasternal retractions
ANS: D
This patient's history of septicemia and labored breathing suggest the onset of ARDS, which will require rapid interventions such as administration of oxygen and use of positive pressure ventilation. The other patients should also be assessed as quickly as possible, but their assessment data are typical of their disease processes and do not suggest deterioration in their status.
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In an attempt to decrease tardiness, a hospital gives employees an extra hour?s pay each wage period that the employee has not been late for work. This incentive program is an example of:
1. Expectancy theory. 2. Reinforcement theory. 3. Equity theory. 4. Goal-setting theory.
The informatics nurse learns that a close friend is admitted to the organization. What should the nurse do demonstrate ethical behavior?
A) Refrain from accessing the medical record. B) Access at the friend's medical record at the bedside. C) Look at the friend's medical record in a secure area. D) Ask a nurse on the care area about the friend's health problem.
Which of the following conditions places the elderly client most at risk for drug-drug interactions?
a. The client sees just one health care provider. b. The client shares medications with friends or family. c. The client uses one pharmacy for all prescriptions. d. The client is prescribed two prescription medications.
After water is absorbed from chyme, the remaining semi-solid material is called:
a. Chyme b. Feces c. Mucus d. A bowel movement