When caring for a client with a pulse oximetry level of 89%, which action should the nurse take first?
A. Get the client out of bed.
B. Apply oxygen as prescribed.
C. Notify the client's physician.
D. Auscultate breath sounds.
Ans: B. Apply oxygen as prescribed.
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The nurse has observed a number of behaviors in the client that indicate that stress management is needed. The behavior the nurse did not observe was:
1. Increased tendency to feel frustrated. 2. Verbalization of feelings. 3. Loss of objectivity. 4. Unnecessary risk-taking.
A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter "refuses to eat vegetables at mealtime" and "wants peanut butter sandwiches for every meal."
Which action by the nurse is the most appropriate? A. Encourage the mom to keep trying to get the child to eat vegetables. B. Reassure the mother that this behavior is normal for a toddler. C. Refer the mother to a pediatric dietician for unmet nutritional needs. D. Teach the mother this behavior puts the child at risk for eating disorders.
An objective assessment of a research study's strengths and limitations is called which of the following?
A) Evidenced-based practice B) Peer review process C) Research critique D) Literature review
The family of a spinal cord–injured patient is concerned with the lack of bowel function 2 days after injury. The nurse's best response would be:
1. "Due to his injury, he will always need to have enemas for bowel evacuation." 2. "Medical management is delaying bowel action, because it places pressure on the injury." 3. "Bowel function should return about 3 days after the accident." 4. "We'll just have to wait and see if bowel action returns this week."