Which order should the nurse anticipate on a standard order for community-acquired pneumonia as a result of evidence-based practice research?
a. Administration of antibiotics ASAP
b. Obtain blood cultures prior to antibiotic administration
c. Obtain blood gases
d. Admit patient to an intensive care unit
B
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A This should occur with 4 hours of admission but after blood cultures are drawn.
B Blood cultures must be obtained prior to the administration of antibiotics.
C This is not a standard of care for CAP.
D This is not a standard of care for CAP.
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Which assessment question helps the nurse determine the character of the patient's pain?
a. "What does the pain feel like, i.e. stabbing, burning or throbbing?" b. "When did the pain first start?" c. "What interventions make the pain better?" d. "Is there any pattern to when the pain occurs?"
When caring for a client, the primary focus of the interdisciplinary health care team (IHCT) is on the:
a. client and family c. health care provider(s) b. nursing staff d. physical and occupational therapist
The rule that states a nurse must delegate care to another nurse while on a lunch break is an example of:
1. regulatory law. 2. statutory law. 3. institutional policies and procedures. 4. criminal law.
The nurse is caring for a client with a disturbance in thought process who is disoriented and aggressive. Which of the following nursing actions may produce further agitation?
A) Speaking in slow, brief sentences B) Presenting the reality of the situation C) Allowing the client freedom in a confined area D) Being present without speaking