The nurse is caring for a patient who developed a pulmonary embolism after surgery. Which goal statement is the highest priority for the nurse to include in the patient's care plan for the diagnosis Impaired gas exchange r/t impaired pulmonary blood flow from embolus?
a. The patient will maintain pulse oximetry values of at least 95% on room air.
b. The patient will verbalize understanding of ordered anticoagulants.
c. The patient will report chest pain of no greater than 3 on a 1-10 scale.
d. The patient will ambulate 50 feet in the hallway without shortness of breath.
a. The patient will maintain pulse oximetry values of at least 95% on room air.
Oxygenation is the most important human need, so adequate oxygenation of tissues as evidenced by pulse oximetry values of at least 95% on room air is the highest priority goal. The other goals may be addressed once the oxygenation goal has been met.
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A 2-year-old child has been crying constantly for his mother since he was hospitalized 3 days ago. What does this behavior suggest?
a. The toddler feels abandoned by his mother. b. The child still has not adjusted to his hospitalization. c. The child is not separated from his mother often. d. There is a poor mother-child bond.
Expressive, receptive, and global are types of _______________
ANS:
Which of the following are considered unique identifiers in addition to the full name of a client when establishing the identification of a client? (Select all that apply.)
a. Room number of the client. b. Client's medical record number. c. Initials of the client's name. d. Client's date of birth. e. Name of the client's medication.
An employee is able to receive health insurance from a former employer after changing jobs. Which of the following best describes the legislation that makes this possible?
a. Health Insurance Portability and Ac-countability Act (HIPAA) b. Omnibus Budget Reconciliation Act c. Balanced Budget Act of 1997 d. Social Security Act of 1935