The nurse is providing care for a patient who is unconscious. What nursing intervention takes highest priority?
A) Maintaining accurate records of intake and output
B) Maintaining a patent airway
C) Inserting a nasogastric (NG) tube as ordered
D) Providing appropriate pain control
Ans: B
Feedback:
Maintaining a patent airway always takes top priority, even though each of the other listed actions is necessary and appropriate.
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Documentation is necessary for the evaluation of patient care. Of which phase of the nursing process is this an integral part?
a. Assessment b. Planning c. Implementation d. Evaluation
To make sure you give the right care to the right person, you need to:
a. Follow the person's care plan b. Identify the person before giving care c. Check the label on the person's clothing d. Check the MSDS
A client is prescribed octreotide (Sandostatin) but has no evidence of acromegaly. The nurse realizes that this medication is indicated for which other health problems?
Standard Text: Select all that apply. 1. Severe diarrhea 2. Portal hypertension 3. Bleeding esophageal varices 4. Pancreatic fistulas 5. Diabetes mellitus
An older patient has developed age spots and is concerned about skin cancer. How would the nurse instruct the patient to perform skin checks to assess for signs of skin cancer?
a. "Limit the time you spend in the sun." b. "Monitor for signs of infection." c. "Monitor spots for color change." d. "Use skin creams to prevent drying."