A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of which of the following?
A) Weight
B) Electrolyte levels
C) Dehydration
D) Body temperature
B
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On physical assessment of a newborn, the nurse notes the presence of diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as
A) Molding B) Hemangioma C) Caput succedaneum D) Cephalhematoma
The nurse responds to a ventilator pressure alarm by going to the patient's room. What should be the nurse's first action?
1. Turn off the ventilator alarm to help calm the patient. 2. Administer intravenous sedation according to prn prescription. 3. Assess for the cause of the alarm. 4. Manually bag the patient until the cause of the alarm is detected.
When collecting a sputum specimen for culture and sensitivity, the nurse demonstrates correct technique for this procedure by which of the following actions?
1. starting prescribed antibiotics one hour prior to specimen collection 2. performing endotracheal suction if the client cannot cough deeply enough to bring up sputum 3. collecting sputum at the end of the day for best results 4. swabbing the back of the throat and placing specimen in a wide-mouth container.
The nurse provides routine morning care to a client, including all the medications and scheduled treatments. What action should the nurse make next?
1. Move on to the next assignment to increase the nurse's efficiency. 2. Report this to the charge nurse. 3. Document all care in the progress notes. 4. Get supplies organized for the next client's medications and treatments.