A healthcare professional assesses that a child’s capillary refill time is 4 sec. What does the healthcare professional evaluate that finding to mean?
a. The child is in shock.
b. The child must have septic shock.
c. The child has compensated shock.
d. This finding is normal.
Ans: a. The child is in shock.
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A patient is admitted to the unit with extreme fatigue, vomiting, and headache. This patient has type 1 diabetes but has been on an insulin pump for 6 months. He states, "I know it could not be my diabetes because my pump gives me 24-hour control
" The nurse's best response would be a. "You know a lot about your pump, and you are correct." b. "You're right. This is probably a virus." c. "We'll get an abdominal CT and see if your pancreas is inflamed." d. "We'll check your serum blood glucose and ketones."
When the client is ready and prepped for surgery, the team caring for the client should perform what prior to beginning the surgery?
1. Scan of the MAR to be sure medications were given 2. A timeout to conduct a final verification of the client 3. A second look at the client's preoperative laboratory results 4. A second surgical scrub of the surgical site
The nurse is caring for a client who was discovering unconscious after falling off a ladder. The client is diagnosed with a concussion. All testing is normal, and discharge instructions are compiled
Which instructions have been compiled for the spouse? A) Tylenol may be administered for aches. B) Observe for any signs of behavioral changes. C) A light meal may be eaten if desired. D) Follow up with regular physician is encouraged.
A group of staff nurses working on the hospice unit have notoriously been opposed to technology use
They assert technology is not essential for the care of people who are actively dying and have decided not to participate in the training process. What can be done by committee members to decrease resistance in this setting? 1. Data can be collected and stored electronically to develop evidence-based practice models which would be useful in alleviating the suffering of the dying. 2. Have the head nurse document the resistance in each person's file. 3. Have the director of human resources attend the next staff meeting to review position descriptions. 4. Terminate staff that refuse to participate in training.