While taking an adult patient's pulse, a nurse assesses a new finding of the rate to be 150 beats per minute up from 80s-90s over the past 2 days. What should the nurse do first?
a. Assess the popliteal and femoral pulses.
b. Assess a 1-minute apical pulse.
c. Apply a warm pack and reassess in 20 minutes.
d. Notify the
d. Notify the
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The nurse is caring for a patient who states that he has been taking his medications and following his diabetic diet carefully. Which test result indicates to the nurse that the patient has not been compliant with the treatment plan?
a. Hemoglobin A1C 16% b. Random blood sugar (RBS) 112 mg/dL c. Lactate dehydrogenase (LDH) 55 units/L d. Erythrocyte sedimentation rate (ESR) 14 mm/hr
The nurse instructs a client with a history of acute respiratory acidosis and lung infections on ways to prevent further episodes of the health problem. Which client statement indicates that teaching has been effective?
A) "I will limit drinking alcohol to the evening hours only." B) "I will limit my intake of bananas and oranges." C) "I will take prescribed antibiotics until my symptoms subside." D) "I will receive the annual influenza vaccination."
A female client is seen in the outpatient clinic for numerous cuts, bruises, and apparent burns. In a discussion with the client, the nurse finds that the injuries are inconsistent with the stated cause
The client also states that she is having trouble sleeping, and she appears anxious. Based on these findings, the nurse suspects that the client may be experiencing: 1. Substance abuse 2. Domestic violence 3. Vascular disease 4. Mental illness
A verbal cue is
A) complex written directions about a procedure. B) specific instructions on how to perform a skill. C) a thorough explanation of a self-care technique. D) a short, simple phrase to prompt the patient.