Normal electrical axis lies between _____ degrees
a. –30 and +90
b. +90 and +180
c. –91 and –180
d. –1 and –90
A
In adults, the normal QRS axis is considered to be between –30 degrees and +90 degrees in the frontal plane.
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A client has an intraventricular catheter. What action by the nurse takes priority?
a. Document intracranial pressure readings. b. Perform hand hygiene before client care. c. Measure intracranial pressure per hospital policy. d. Teach the client and family about the device.
The nurse is caring for a patient from a different culture. After assessing the patient and formulating the care plan, what action by the nurse is best?
a. Review the care plan for acceptance by the patient. b. Delegate appropriate tasks to unlicensed assistive personnel. c. Go over the care plan with the charge nurse. d. Begin implementing the planned interventions.
To assess for Trousseau's sign, place a blood pressure cuff on the patient's upper arm and inflate to
a. 10 mm Hg above the patient's diastolic blood pressure for 1 minute. b. the patient's systolic blood pressure for 3–5 minutes. c. 10 mm Hg above the patient's systolic blood pressure for 1–3 minutes. d. 10 mm Hg below the patient's systolic blood pressure for 3–5 minutes.
When teaching children, a nurse should do which of the following? Select all that apply
1. Always tell the truth. 2. Use teaching pamphlets created for adults. 3. Emphasize the importance of hand washing. 4. Refrain from telling a child that something will hurt. 5. Use a doll or teddy bear as the patient when explaining a procedure.