MC When a client is in shock, the most important nursing observation is a (an) 1) Increase in pulse rate 2) Decrease in respirations 3) Increase in blood pressure 4) Decrease in blood pressure Which phase of the nursing process is illustrated
in this question? A. Assessment
B. Planning
C. Implementation
D. Evaluation
A
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The nurse is counseling some parents on how they will feel after the death of a child. The nurse understands that the parents might feel which of the following? Select all that apply
1. Anger 2. Guilt 3. Depression 4. Loneliness 5. High energy
The nurse defends DHHS reporting of successful medical error reduction initiatives to Congress by summarizing that
a. Congress has oversight when safety is poor. b. congressional members oversee state reporting. c. laws are created to meet patient safety needs. d. increasing patient safety is national priority
The nurse is caring for a client experiencing metabolic alkalosis. Which of these conditions may cause this?
a. overly vigorous mechanical ventilation b. hyperkalemia c. prolonged nasogastric suctioning d. pain
The staff development instructor is planning an inservice for nursing staff on the theories of aging. What should the instructor include about immune dysregulation?
1. Immune cells attack the normal body tissues. 2. The ability to differentiate between invaders and normal tissues diminishes with age. 3. The immune system is not able to defend the body from foreign invaders with age. 4. Changes in the immune system disrupt the regulation of immune process components.