The nurse detects a possible irregularity in the rhythm of the client's radial pulse and will:
a. Record this as normal for the client.
b. Use a stethoscope to check the brachial pulse.
c. Count the client's apical pulse for a full minute.
d. Count the radial pulse again for 15 seconds and multiply by 4.
ANS: C
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What factors must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired? (Select all that apply.)
a. Cultural beliefs b. Values c. Habits d. Income e. Occupation
The nurse is caring for a thyroid cancer client following oral radioactive iodine treatment. Which teaching point is most important?
A) Shield your throat area when near others. B) Flush the toilet twice after every use. C) Prepare food separately from family members. D) Use disposable utensils for the next month.
The patient is brought to the emergency department complaining of severe shortness of breath. She is cyanotic and her extremities are cold. In an attempt to quickly assess the patient's respiratory status, the nurse should:
a. remove the patient's nail polish to get a pulse oximetry reading. b. use a forehead probe to get a pulse oximetry reading. c. use a finger probe to get a pulse oximetry reading. d. check the color of the patient's nail polish before attempting a reading.
A bed that has the top linens folded back for the patient to get in easily is called a(n)
A. Occupied bed. B. Closed bed. C. Surgical bed. D. Open bed.