You need to call the physician regarding K.B.'s status. Using SBAR, what will you report to
the physician?
What will be an ideal response?
You would first need to identify yourself and the patient. Then describe the situation, focusing on
the VS and new onset of confusion and atrial fibrillation. Relate the earlier assessment findings:
1+ bilateral lower extremity pitting edema and diminished breath sounds with fine crackles in
the posterior bases. State how many hours it has been since he was admitted, and review the
interventions you performed, including whether you placed K.B. on oxygen. You would conclude
your remarks with the belief that he is experiencing thyroid storm and that the physician needs to
see K.B.
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A 14-year-old boy has suffered a concussion during a hockey game. The nurse teaches family members who will be attending to the boy to contact the physician or return to the emergency department if the boy:
A) Complains of headache B) Complains of a decrease in appetite C) Sleeps for short periods of time D) Vomits
A nurse is assessing deep tendon reflexes in a client who sustained a spinal cord injury 5 days ago. The nurse can elicit a mild response to a tap on the patella. What is the nurse's in-terpretation of this finding?
A. There is a gradual response of all the nerves and muscles. B. It is too early to tell how extensive the injury is at this time. C. The injury has resulted in only temporary spinal cord dysfunction. D. The spinal shock phase of the injury is over.
Elderly clients may have difficulty remembering specific instructions due to short-term memory loss
Indicate whether the statement is true or false.
Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?
a. If it is present in a child, both parents are carriers of this defective gene. b. It is inherited as an autosomal dominant trait. c. It is a genetic defect found primarily in non-Caucasian population groups. d. There is a 50% chance that siblings of an affected child also will be affected.