For which of the following patients would it be most important to obtain an apical-radial pulse and calculate the pulse deficit? A patient who:
a. Had abdominal surgery 2 hours ago
b. Suffered a fractured hip yesterday
c. Is dehydrated from vomiting
d. Has a heart or lung disease
ANS: D
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The nurse is teaching the client who requires maximum support secondary to generalized weakness to walk with a walker
Which technique used by the nurse is the most appropriate? 1. Move the walker ahead while moving the weak leg forward, bearing weight on the strong leg. 2. Move the walker ahead while moving the strong leg forward, bearing weight on the weak leg and the arms. 3. Move the walker ahead, then move the right foot up to the walker while body weight is borne by the left leg and both arms, then move the left foot, bearing weight on the right leg and both arms. 4. Walk forward and push the walker ahead before taking the next step.
A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?
A) Impaired Gas Exchange B) Ineffective Breathing Pattern C) Anxiety D) Activity Intolerance
A child asks the school nurse a question about sexuality. The nurse should:
a. Tell the child to discuss this with their parents b. Tell the child not to think about sex c. Tell the child to wait until the sex education class meets d. Tell the child that he or she will listen carefully and try to answer the question
Which statement about the proper placement of employees within the organization is correction?
A) It occurs when an attempt is made to place employees in units where they have the greatest chance of success B) It is overrated as a retention strategy because most employees readily adapt to whatever unit on which they are placed C) It refers to placing employees on units that have the greatest need for new staff D) It occurs when employees are able to modify their own personal values and beliefs to coincide with that of the unit on which they are placed