A nurse is monitoring a client who is receiving moderate sedation during a breast biopsy. Which symptom should the nurse assess first?
a) Coarse crackles in both upper lobes
b) Mild bleeding at the surgical site
c) Lower back pain
d) Heart rate of 84 beats/minute
Answer: a) Coarse crackles in both upper lobes
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Indicate whether the statement is true or false.
You are meeting with your mentor who asks you about the elements needed for effective strategic career planning. If you give the following responses, which would your mentor want to further clarify?
a. assessing your values, interests, and the job market b. determining your career path c. planning and implementing a job search d. performing ongoing evaluation to assure alignment with your vision and goals
A patient was admitted for AAA with a pulsating abdominal mass. The nurse notes a sudden onset of diaphoresis, decreased level of consciousness, a blood pressure of 88/60 mm Hg, and an irregular apical pulse. Oxygen is in place via mask. What is the priority nursing action at this time?
a. Establish IV access. b. Alert the Rapid Response Team. c. Auscultate for a bruit and assess the mass. d. Place the patient on the cardiac monitor.
A 25-year-old male was exposed to HIV virus by heterosexual intercourse and now has anti-HIV antibody. What does the positive antibody test indicate?
A. The person infected has eliminated the virus and is now immune to the virus. B. The person has been infected and can infect other persons. C. The person has been infected, but the presence of anti-HIV antibody will prevent the infection from progressing and causing AIDS. D. The person has been infected; however, the infection is probably mild, and he is unlikely to infect other persons by heterosexual intercourse.