Which nursing intervention is most appropriate for the patient in the operative setting?
a. Provide a climate of privacy, comfort, and confidentiality when caring for the patient
b. Instruct the patient after the preoperative medication has taken effect, he or she will be drowsy
c. Avoid discussing the activities taking place around the patient while in the holding area
d. Assist members of the surgical team readying the operating room suite
Answer: a. Provide a climate of privacy, comfort, and confidentiality when caring for the patient
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Your are conducting a mental status examination on a patient admitted with a diagnosis of depression. Your examination would most likely reveal which of the following? Select all that apply
a. Normal sleep pattern d. Positive self-esteem b. Increase or decrease in appetite e. Suicidal ideations c. Depressed mood f. Difficulty concentrating
Respirations gradually increase in rate and depth and then become shallow and slow. Breathing may stop for 10 to 20 seconds. This is:
a. Biot's respirations. b. Cheyne-Stokes respirations. c. Kussmaul respirations. d. Hypoventilation
A Stage IV pressure ulcer appears as
A. full-thickness skin loss extending to the muscle, tendon, or bone. B. partial-thickness skin loss with an abrasion or blistered surface. C. full-thickness skin loss with damage of subcutaneous tissue. D. a highly defined area or red, shiny, intact skin.
Which is the priority action by the school nurse for an adolescent who drops to the ground and is unresponsive during a high school basketball game?
1. Initiating cardiopulmonary resuscitation (CPR) 2. Calling 911 3. Offering the parents comfort 4. Assessing for hemorrhage