A student nurse is assigned to care for an older patient diagnosed with frailty and cardiovascular disease. While reviewing the patient's chart, which of the following lab values would the student expect to find?
A) Digoxin level 1.8 ng/mL
B) Digoxin level 3.0 ng/mL
C) Digoxin level 0.2 ng/mL
D) Digoxin level 1.5 ng/mL
B
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The patient's condition has deteriorated to the point where she can no longer make decisions about her own care. Which of the following nursing interventions would be most appropriate?
a. Obtain a verbal DNR order from the physician. b. Continue caring for the patient as originally ordered because she obviously wanted this. c. Consult the hospital attorney for recommendations on how to proceed. d. Discuss with the family what the patient's wishes would be if she could make those decisions herself.
As the nurse assesses the pregnant client she states that she sometimes feels like she has difficulty breathing. The client has reached the 36th week of her pregnancy. The nurse realizes that the client's difficulty is related to:
1. The fetus pushing the diaphragm upwards. 2. Fatigue due to the pregnancy. 3. Anxiety about her impending delivery. 4. Contractions.
A nurse counsels an 18-year-old client who is pregnant and is considering giving her baby up for adoption. The client asks the nurse about what she should do
The nurse presents all possible options and praises the client's decision to have the baby rather than to terminate the pregnancy. The nurse then refers the client to a social worker who can help with the adoption process. By demonstrating congruence between what the nurse felt and what the nurse expressed to the client, which characteristic did the nurse convey? A) Respect B) Genuineness C) Sympathy D) Rapport
Which of the following actions when preformed by the nurse indicates understanding of one basic principle of providing effective pain management?
a) Continuing to provide around the clock pain medications 72 hours following a surgical procedure b) Wakening a new postoperative patient to take his or her pain medication c) Administering pain medications on a PRN (as needed) basis d) Administering a dose of an analgesic agent via patient-controlled analgesia (PCA) during rounds