A patient with heart failure begins to cough pink frothy sputum. Which pressure would the nurse assess to confirm this manifestation?
1. Central venous pressure
2. Pulmonary capillary wedge pressure
3. Arterial pressure
4. Right arterial pressure
2
Rationale 1: Central venous pressure would not be used to confirm the patient's symptom.
Rationale 2: The pulmonary capillary wedge pressure would be elevated in pulmonary edema. This is the pressure that the nurse would assess to confirm the patient's symptom.
Rationale 3: The arterial pressure would not be used to confirm the patient's symptom.
Rationale 4: The right arterial pressure would not be used to confirm the patient's symptom.
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Which statement made by a parent indicates a need for the nurse to teach safety and ac-cident prevention?
a. "I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don't move around as much as older infants." b. "I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect." c. "I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy." d. "I always take the phone off the hook when I give my baby a bath so I won't be disturbed."
Which of these intrinsic factors contributes to development of pressure ulcers?
a. impaired mobility c. friction b. shearing d. moisture
Which of the following is not a leader behavior in path-goal theory?
a. Directive b. Coaching c. Delegating d. Participative
Which nursing actions are important when providing care to a pediatric client who is on contact precautions due to a communicable disease? Select all that apply
1. Encouraging frequent family visits 2. Scheduling physical therapy (PT) for the child 3. Providing age-appropriate stimulation and activities 4. Allowing the parents to have physical contact with the child 5. Educating the family about personal protective equipment (PPE)