You are assigned to provide nursing care for a patient receiving mechanical ventilation. Which action should you delegate to an experienced UAP?
a. Assessing the patient's respiratory status every 4 hours
b. Taking vital signs and pulse oximetry readings every 4 hours
c. Checking the ventilator settings to make sure they are as prescribed
d. Observing whether the patient's tube needs suctioning every 2 hours
Ans: b. Taking vital signs and pulse oximetry readings every 4 hours
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A 14-year-old boy is participating in his school's track meet; the outdoor temperature is 99 °F, and a teacher has found the boy sitting restless in the shade and disoriented to time
The teacher notes that the student has dry skin in spite of the high temperature and the fact that he has recently completed a running event. The teacher calls for the school nurse, who will recognize which of the following potential diagnoses and anticipated hospital treatments? A) Heat exhaustion, likely treated with rest, shelter from the sun, and salt tablets B) Heat stroke, likely treated with submersion in cold water C) Heat stroke, likely treated with rehydration by intravenous hypotonic solution D) Heat exhaustion, likely treated with oral rehydration with cool water
Which blood glucose reading would the nurse evaluate as supporting the outcome measure of maintaining glycemic control in a patient at risk for multiple organ dysfunction?
1. 100 mg/dL 2. 120 mg/dL 3. 156 mg/dL 4. 184 mg/dL
Blood obtained via capillary puncture can be collected:
a. in microtianer tubes b. in capillary tubes c. in microhematocrit tubes d. into a filter paper e. all of the above
Which of the following laboratory results indicates the presence of malnutrition?
A) Serum albumin 2.8 g/dL B) Hemoglobin (Hgb) 11.3 g/dL C) Creatinine 1.9 mg/dL D) Hematocrit (Hct) 56%