When taking an apical pulse, you need to use:
a. Your thumb
b. The middle 3 fingers
c. Your ring and little fingers
d. A stethoscope
D
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A nurse is caring for a patient who signs and lip reads. When communicating, the most appropriate nursing action is to do which of the following?
a. Rely on family members to interpret. b. Speak louder and more distinctly than normal. c. Sit facing the patient when speaking. d. Repeat the entire conversation if it is not understood the first time.
A nurse records a "1" for the pulse quality of the pedal pulse. What interpretation is correct regarding the pulse?
a. Absent b. Normal c. Thready d. Forceful
A patient with a history of depression and suicidal ideation is taking fluoxetine [Prozac]. The patient reports difficulty maintaining sleep and is prescribed secobarbital [Seconal] as a seda-tive-hypnotic
The nurse preparing this patient for discharge from the hospital will: a. contact the provider to suggest an order for ramelteon [Rozerem]. b. instruct the patient to use alcohol in mod-eration. c. request an order to change to trazodone [Desyrel] for sleep. d. suggest that the patient try alternative re-medies for sleep.
A multigravida patient is admitted to the labor and delivery unit in active labor
Nursing diagnoses that might apply to the patient with suspected abruptio placentae include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fluid Volume, risk for deficit related to hypovolemia. 2. Tissue Perfusion, risk for altered related to blood loss. 3. Anxiety related to concern for own safety. 4. Knowledge Deficit related to lack of information about inherited genetic defects. 5. Alteration in Respiratory Function related to blood loss.