An RN is making assignments on a medical-surgical unit. Which patient could the RN assign to a float RN from the maternity unit?
a. A 68-year-old female patient with COPD and viral pneumonia
b. A 60-year-old female patient with atrial fibrillation and a heart rate of 150
c. A 50–year-old male patient post open heart surgery whose blood pressure is 90/50
d. A 36-year-old male patient who is severely neutropenic awaiting chemotherapy
ANS: A
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Which of the following should be used when suctioning a mechanically ventilated patient? (Select all that apply.)
a. Three hyperoxygenation breaths (breaths at 100% FiO2) b. Hyperinflation (breaths at 150% tidal volume) c. Limit the number of passes to three. d. Instill 5 to 10 mL of normal saline to facilitate secretion removal. e. Use intermittent suction to avoid damaging tracheal tissue.
The nurse is reviewing the results of laboratory tests conducted on a client admitted with a respiratory disorder. Which laboratory finding would be most significant for this client?
A) Hemoglobin level 12 mg/dL B) Oxygen saturation 96% C) Serum sodium 140 mg/dL D) Blood pH 7.32
Which assessment finding may indicate that a patient is experiencing adverse effects to a corticosteroid prescribed after kidney transplantation?
a. Postural hypotension b. Recurrent tachycardia c. Knee and hip joint pain d. Increased serum creatinine
A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports on occasion that she has some difficulty swallowing and periods of fatigue
The patient asks, "What can be done to remedy this?" The nurse's best response would be a. "You are already on a high dosage of the drug. You will have to cope with these symptoms." b. "This could mean that the dosage is too high and you should skip every other dose." c. "Let's discuss some strategies to help you learn to self-adjust the dose in response to your symptoms." d. "You are developing tolerance to the drug and will need to change to a different class of agents."