The nurse is assessing a client diagnosed with second- and third-degree burns. Which of the following assessment signs would not need to be reported by the nurse?
1. Brassy cough
2. Hoarseness
3. Respiratory rate of 36
4. Urine output of 30 mL in the first hour
4
A urine output of 30 to 50 mL per hour is a sign of adequate fluid hydration. A brassy cough, hoarseness, or an increasing respiratory rate can be signs of potential airway obstruction and respiratory distress.
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A union representative tells the nurses of a hospital that they should review the Kentucky River trilogy as part of their education regarding unionization. What will the nurses learn from this review?
1. A summary of the benefits of collective bargaining in the health care industry 2. The history of unionization in the United States 3. What the nurse can expect to pay as a member of the collective bargaining unit 4. Which nurses are considered to have supervisory status
A new mother, after changing her newborn's diaper, asks why the stool is almost black in color. The nurse responds by:
A) asking her if she took iron during her pregnancy B) telling her that it is meconium and normal in newborns C) testing the stool for occult blood D) calling the health care provider to report this finding
A man was scratched by an old tool and developed a virulent staphylococcus infection. In the course of the man's immune response, circulating lymphocytes containing the antigenic message returned to the nearest lymph node
During what stage of the immune response did this occur? A) Recognition stage B) Proliferation stage C) Response stage D) Effector stage
A patient is prescribed an ophthalmic beta
blocking agent for the treatment of glaucoma. Which precaution is most important to teach the patient to prevent orthostatic hypotension? a. "Change positions slowly." b. "Take your pulse rate at least four times each day." c. "Be sure to lie down for at least 10 minutes after putting the drops into your eyes." d. "Apply pressure to the inside corner of your eye when putting the drops into the eye."