A nurse has worked in the trauma critical care area for several years. Which of the following noises may become indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-workers discussing their clients' conditions
Correct Answer: 3
Rationale: Nurses often need to focus on specific data in order not to be overwhelmed by a multitude of data. Observing involves discriminating data in a meaningful manner (i.e., noticing things that may indicate cause for concern or action on the nurse's part). Listening to a client's breathing helps the nurse become attentive to changes in breathing patterns.
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A nursing student is learning the difference between theoretical and conceptual frameworks. Which statement, if made by the student, indicates the need for further teaching?
1. A theoretical framework presents a broad, general explanation of the relationships between the concepts of interest in a research study. 2. A conceptual framework helps to explain the relationship between concepts. 3. A conceptual framework is a less well-developed structure than a theoretical framework but may serve as the impetus for the formulation of a theory. 4. A theoretical framework is based on many existing theories.
A client from an Indian culture documents "extra pepper" on the menu for every meal. For which reason should the nurse realize the client is using this condiment?
a. Warm the body b. Induce sweating c. Counteract karma d. Eliminate bad actions
Which of the following actions has the highest priority for maintaining safety when caring for a patient with a PA catheter?
1. Obtain pressures per protocol. 2. Administer fluids and medications via pump. 3. Maintain asepsis when providing line care. 4. Obtain lab values as ordered.
Which person with mania is the least likely candidate to receive lithium? The patient who is:
a. Six weeks pregnant b. Recovering from a hysterectomy c. Taking hormone replacement therapy d. Displaying symptoms of postpartum depression