A nurse enters a room and notes that a patient has a very productive cough. The nurse would be most concerned about a life-threatening situation if the sputum looks
1. Greenish yellow.
2. Frothy and pink-tinged.
3. Thick and white.
4. Rusty in color.
ANS: 2
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The manager has just terminated a nurse. What statement by the manager is appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "You may go back to the unit to say good-bye to your coworkers." 2. "We have cleaned out your locker and have your personal belongings ready for you." 3. "I have notified security to escort you as you leave the building." 4. "As of this time, you are no longer an employee of this institution." 5. "Please do not discuss your termination with any other nurses."
In a patient receiving oxytocin therapy, the nurse identifies tachysystole accompanied by a reassuring FHR. Which of the following steps should the nurse take to minimize adverse effects to the mother and the baby?
A) Stop the infusion of oxytocin immediately B) Administer magnesium sulfate C) Dilute terbutaline with saline and administer the drug D) Place the patient in a lateral position and monitor closely
The nurse is teaching the mother of a 5-year-old boy with a myelomeningocele who has developed a sensitivity to latex. Which of the following responses from his mother indicates a need for further teaching?
A) "He needs to get a medical alert identification." B) "I will need to discuss this with his caregivers." C) "A product's label indicates whether it is latex-free." D) "He must avoid all contact with latex."
Which behavior is characteristic of grief by a disenfranchised adult child in response to a parent's death following a lengthy, painful illness?
a. Crying out loudly while invoking "God's help" to go on with life b. Announcing to family members, "I've al-ready grieved the loss." c. Having difficulty even deciding what to wear to the funeral d. Going on a drinking binge instead of at-tending the funeral