The nurse is caring for a postoperative nephrectomy patient. The nurse notes during the first several hours of the shift a marked and steady downward trend in blood pressure. How does the nurse interpret this finding?
a. Hypertension has been corrected
b. Internal hemorrhage is possible
c. The other kidney is failing
d. This is an expected response to medication
Answer: b. Internal hemorrhage is possible
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The nurse is auscultating the chest of a patient who is admitted with asthma. What type of adventitious breath sounds is the nurse most likely to hear?
a. fine crackles c. pleural friction rub b. stridor d. sonorous wheeze
The surgical removal of foreskin from the penis is:
a. Circumcision b. Episiotomy c. Cesarean d. Lochia
In the course of narrowing their focus in a campaign to implement EBP in their workplace, a group of nurses is currently choosing which nursing areas to address. The nurses should prioritize which of the following?
A) Nursing activities that are most familiar to the educators on the unit B) Areas that relate to the outcomes necessary for Magnet recognition C) Nursing actions that are addressed in the most detail in the literature D) Interventions that nurses perform most often during their care
A new mother of Guatemalan descent brings her 10-day-old infant to a clinic for a well-baby checkup. To promote healing, she has a coin taped to the infant's umbilicus. What should the nurse do about this situation?
a. Teach the mother how to clean the coin daily and reapply it. b. Explain to the mother that the coin is not necessary for healing. c. Tell the mother to remove the coin, because it could cause an infection. d. Teach the mother how to apply a dry sterile dressing in place of the coin.