Even though a UAP is available to assist with vital sign assessment, the nurse is going to conduct these assessments independently in which situations?
1. Client who complains of chest pain
2. Client returning from surgery
3. Prior to administering a medication that affects blood pressure
4. Client who complains of dizziness after ambulating.
5. Client being admitted to the care area
Correct Answer: 1, 2, 3, 4
Rationale: When a client reports symptoms such as chest pain, the nurse should conduct the assessment.
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The nurse notes a serum calcium level of 7.9 mg/dL for a patient who has chronic malnutrition. Which action should the nurse take next?
a. Monitor ionized calcium level. b. Give oral calcium citrate tablets. c. Check parathyroid hormone level. d. Administer vitamin D supplements.
One of the first nurse researchers to document evidence-based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues?
a. Nightingale gathered scientific data. b. Nightingale calculated statistics to report her findings. c. Nightingale communicated her findings to powerful others. d. Nightingale based her nursing practice on her findings.
Immediate surgery is planned for a patient with acute abdominal pain. The question used by the nurse that will elicit the most complete information about the patient's coping-stress tolerance pattern is:
a) What do you think caused this abdominal pain b) How do you feel about yourself and your hospitalization c) Are there other major problems that are a concern right now
Preoperative adjunct medications are used for which reasons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. To reduce anxiety and facilitate sedation 2. To facilitate a faster recovery 3. To reduce the risk of aspiration pneumonia 4. To reduce the risk of a postoperative ileus 5. To manage pain