The best time to observe and count respirations is while:
a. the patient is answering questions.
b. weighing the patient.
c. palpating the pulse.
d. the patient is sleeping.
C
Counting respirations while you palpate the pulse does not make the patient self-conscious be-cause the patient expects you to be counting the pulse. Respiratory patterns change as the patient speaks. Attempting to count during weighing would make the patient self-conscious and affect the respiratory rate. Respiratory patterns change as the patient sleeps.
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A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. What action should the nurse take in this situation?
A) Let the client go after signing a document stating he is going against medical advice. B) Restrain the client until his medical treatment is over. C) Call the physician and get his discharge paper signed. D) Warn the client that he may not be able to access health care again.
An older adult patient has been prescribed an opioid to manage chronic pain resulting from a shoulder injury. To eliminate a common barrier to opioid drug compliance, the nurse
a. encourages the patient to use the opioid only as prescribed. b. educates the patient about the appropriate management of constipation. c. assures the patient that dizziness will de-crease as therapeutic levels are reached. d. suggests the patient take the medication with meals or a snack.
Research utilization begins with empirical findings for consideration in practice settings. Where does evidence-based practice begin?
A) Integration of clinical judgments with research evidence B) A desire to abandon decisions based on custom and authority opinion C) A search for the best possible information for addressing a clinical problem D) A critique of existing practices
A patient using loteprednol should be informed that:
1. the drug may cause tachycardia and hypertension. 2. hypotension is likely. 3. the drug will likely be required for life. 4. long-term use is associated with an increased risk of infection.