The charge nurse evaluates the care provided by a new registered nurse (RN) for a client receiving mechanical ventilation (MV). Which action by the new RN indicates theneed for further education?
1. Administers morphine to relieve anxiety and restlessness
2. Applies suction when inserting the catheter into the airway
3. Increases the oxygen concentration on the MV before suctioning
4. Suctions when MV high-pressure alarm continues to sound and rhonchi are present
Ans: 2. Applies suction when inserting the catheter into the airway
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Which of the following are examples of invasion of privacy by nurses? Select all that apply
a. Searching a patient's belongings without permission b. Reviewing the plan for patient care in the lunchroom c. Discussing healthcare issues for an unconscious patient with the person who holds his power of attorney d. Releasing patient health information to local newspaper reporters
Which disorder of the chest best describes these symptoms?
A 68-year-old retired postman presents to your clinic, complaining of dull, intermittent left-sided chest pain over the last few weeks. The pain occurs after he mows his lawn or chops wood. He says that the pain radiates to the left side of his jaw but nowhere else. He has felt light-headed and nauseated with the pain but has had no other symptoms. He states when he sits down for several minutes the pain goes away. Ibuprofen, Tylenol, and antacids have not improved his symptoms. He reports no recent weight gain, weight loss, fever, or night sweats. He has a past medical history of high blood pressure and arthritis. He quit smoking 10 years ago after smoking one pack a day for 40 years. He denies any recent alcohol use and reports no drug use. He is married and has two healthy children. His mother died of breast cancer and his father died of a stroke. His younger brother has had bypass surgery. On examination you find him healthy-appearing and breathing comfortably. His blood pressure is 140/90 and he has a pulse of 80. His head, eyes, ears, nose, and throat examinations are unremarkable. His lungs have normal breath sounds and there are no abnormalities with percussion and palpation of the chest. His heart has a normal S1 and S2 and no S3 or S4. Further workup is pending. A) Angina pectoris B) Pericarditis C) Dissecting aortic aneurysm D) Pleural pain
The client has an order for 30 units of U-500 insulin. The nurse is using a U-100 syringe and will draw up and administer:
1. 5 units 2. 6 units 3. 10 units 4. 30 units
Which of the following features should appear when motivational interviewing is being utilized? Select all that apply
A) Eliciting and strengthening client change talk B) Negotiating change plans C) Firming up client commitment D) Trying to "stick to the plan" without adapting to the moment E) Utilizing feedback at the very last session