The PACU nurse would identify which assessment finding as abnormal in a client recovering from surgery?
a. Gag reflex present
b. Pulse oximeter reading of 84%
c. Breath sounds in all lobes
d. Negative Homans' sign
ANS: B
You might also like to view...
The nurse is providing education to the client with multiple burns and lists the options for skin grafting and application techniques. Which is the primary benefit for using an autograft slit graft versus other types of grafts?
A) Less scarring B) Less discomfort C) Speeds healing D) Rejection is unlikely.
The health care provider suspects that her patient has experienced an allergic reaction to an active ingredient in a drug. Which substance is an example of an active ingredient?
a. Binder b. Polypeptide c. Dye d. Filler
A mother is concerned that a school-age child will pick up the habit of smoking because so many children in the school smoke. What should the nurse instruct the mother about this behavior?
A) Be a role model and do not smoke. B) Remind the child that smoking costs money. C) Discuss other tobacco choices that can be used instead. D) Explain that the child can experiment with smoking when older.
The nurse is working with a group of clients with personality disorders who are attending a cognitive behavioral therapy session
The nurse recognizes that the clients who are most responsive to this type of therapy have the following personality trait: A) eccentric B) dramatic C) agreeableness D) inflexible