The CURB-65 decision rule provides framework for determining whether the patient diagnosed with _____ can be safely monitored and treated at home:
Fill in the blank with the correct word.
One point is awarded for each of the following factors present:?Confusion of new onset?BUN greater than 20mg/dL?Respiratory rate of ? 30 breaths/minute?Blood pressure is less than 90 mmHg systolic or diastolic ? 60 mm Hg?Age 65 or olderPatients scoring 3 to 5 typically require hospitalization for observation and therapy. Scores of 0 to 1 indicate likelihood that outpatient management is appropriate. A score of2 is inconclusive.
A. community -acquired pneumonia. Patients scoring 3 to 5 typically require hospitalization for observation and therapy. Scores of 0 to 1 indicate likelihood that outpatient management is appropriate. A score of 2 is inconclusive.
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The nurse is assisting with endotracheal intubation and understands correct placement of the endotracheal tube in the trachea would be identified by which of the following? (Select all that apply.)
a. Auscultation of air over the epigastrium b. Equal bilateral breath sounds upon auscultation c. Position above the carina verified by chest x-ray d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
Which of the following is true regarding therapeutic communication?
A) The focus is on the client. B) It is planned by the client. C) The goal is expression of the nurse's feelings. D) It does not encompass values and beliefs.
The nurse is instructing a client with a new colostomy on its care and notes that the stoma is large and dusky. The most appropriate nursing intervention at this time is to
a. assess the client's reaction to the ostomy site. b. assist the client to irrigate the colostomy. c. notify the surgeon immediately. d. reassure the client that the stoma will decrease in size.
When using an otoscope to assess the client's ear, the nurse notes that the tympanic membrane moves in response to air injected into the external canal. Which of the following should the nurse do?
A. Immediately remove the otoscope to prevent infection. B. Document the finding. C. Prepare to wash the external ear canal. D. Notify the physician.