The nurse identifies the problem of a potential complication—pulmonary edema—for a patient in acute congestive heart failure (CHF). For which early symptom of this problem does the nurse assess?
a. Pink, frothy sputum
b. Lethargy and faintness
c. Decreased urinary output
d. Bradycardia
A
Frothy sputum is produced from air mixing with the fluid in the alveoli; the sputum is blood-tinged from blood cells that have exuded into the alveoli.
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The complex care provided during an emergency requires interdisciplinary collaboration. Which interdisciplinary team members are paired with the correct responsibilities? (Select all that apply.)
a. Psychiatric crisis nurse - Interacts with clients and families when sudden illness, serious injury, or death of a loved one may cause a crisis b. Forensic nurse examiner - Performs rapid assessments to ensure clients with the highest acuity receive the quickest evaluation, treatment, and prioritization of resources c. Triage nurse - Provides basic life support interventions such as oxygen, basic wound care, splinting, spinal immobilization, and monitoring of vital signs d. Emergency medical technician - Obtains client histories, collects evidence, and offers counseling and follow-up care for victims of rape, child abuse, and domestic violence e. Paramedic - Provides prehospital advanced life support, including cardiac monitoring, advanced airway management, and medication administration
The nurse is caring for a client from the white American cultural group. Which of the following cultural considerations should the nurse ensure when providing care to this client?
1. There is minimal tolerance for delays so provide pain medication in a timely manner. 2. Submission to those in authority is a characteristic of this culture group. 3. Prayer is emphasized for prevention and treatment of health problems. 4. Illnesses are treated with hot or cold foods.
A woman explains to her health care provider that she just has this cleaning ritual that she goes through every day. If something disrupts this cleaning schedule, she becomes:
A) Depressed. B) Extremely anxious. C) Aggressive to the point of lashing out. D) Isolated from others.
Obtaining vital signs is not a routine part of the admission procedure
Indicate whether the statement is true or false