The nurse determines that the patient is at the end of the resuscitation phase of the burn injury. What assessment data has the nurse obtained that is a primary indicator of this phase?
A) Pa02 of 90
B) A reddish-brown color of urine
C) Urine output of >30 mL/hr
D) Urine output of <20 mL/hr
D
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What nursing strategy implemented after a patient is admitted to the CCU will decrease the risk that he or she will develop hospital-acquired pneumonia?
A) Verify that patients received a pneumococcal pneumonia vaccine before admission. B) Ensure that all members of the health care team follow hand hygiene protocols strictly. C) For patients who cannot eat normally, maintain NPO status. D) Maintain bed rest in supine position for all mechanically intubated patients.
A 12-year-old patient has undergone knee surgery. She has an order for pain medication, which can be given by several different routes. Which of the following routes of administration will provide the fastest pain relief?
a. Transcutaneous b. Intravenous c. Oral d. Rectal
When a 5-year-old is disruptive, the nurse says, "You must take a time-out.". The expectation is that the child will:
a. go to a quiet room until called for the next meal. b. slowly count to 20 before returning to the milieu. c. sit on the edge of the activity until able to regain self-control. d. sit quietly with a staff member until able to apologize for the behavior.
When the nurse providing psychoeducation about mental disorders is asked "What is the most
prevalent mental disorder in the United States?" the response should be a. "Why do you ask?" b. schizophrenia. c. affective disorders. d. substance abuse.