Which client will be best for the charge nurse to assign to a new graduate RN who has completed 2 months of orientation to the coronary care unit?
A. Client who has a new diagnosis of heart failure and needs a pulmonary artery catheter inserted
B. Client who has just arrived after a coronary arteriogram and has vital signs requested every 15 minutes
C. Client with acute electrocardiographic changes who is requesting nitroglycerin for left anterior chest pain
D. Client who has many questions about the electrophysiology studies (EPS) scheduled for today
Answer: B. Client who has just arrived after a coronary arteriogram and has vital signs requested every 15 minutes
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Teaching is an integral intervention implied by all nursing diagnoses. In which of the following nursing diagnoses would education of the patient be the highest priority?
A) Risk for impaired mobility related to joint pain B) Incontinence related to surgical repair of bladder C) Altered range of movement related to contractures D) Risk for ineffective management of therapeutic regimen
The nurse identifies the problem of impaired physical mobility in a patient hospitalized with traumatic injuries. Which intervention should the nurse identify as appropriate for this patient?
1. Provide active range-of-motion exercises to affected extremities every 8 hours. 2. Turn and reposition every hour. 3. Remove anti-embolic stockings for 3 hours every shift. 4. Administer tetanus toxoid.
The nursing unit is adopting the "self-directed work team" model. What benefits are likely to occur because of this decision? Select all that apply
1. Services will be focused on the patient. 2. Centralization will create cost efficiency. 3. Use of small teams of nonprofessional staff led by an RN offers cost savings. 4. Staff retention and productivity will improve. 5. Positive patient, staff, and physician satisfaction.
The patient that you are caring for has severe preeclampsia and is receiving a magnesium sulfate infusion. You become concerned after assessment when the woman exhibits:
a. A sleepy, sedated affect. c. Deep tendon reflexes of 2. b. A respiratory rate of 10 breaths/min. d. Absent ankle clonus.