The nurse knows the discontinuation of patient oxygen is based upon
A) vital signs.
B) body temperature.
C) pH of blood.
D) the SaO2 on room air.
D
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A client with respiratory failure was intubated with an oral endotracheal (ET) tube 2 hours ago. Suspecting that the tube has changed position slightly since insertion, the nurse would assess the
a. results of the chest x-ray film taken 2 hours earlier. b. current oxygen saturation readings. c. status of the client's breath sounds. d. position of the numbers on the ET tube at the lip line.
Which behavior exhibited by an older adult client alerts the nurse to the possibility that the client is experiencing delirium?
a. Becoming confused within 24 hours after hospital admission b. Displaying a cheerful attitude despite a poor prognosis c. Becoming withdrawn and sleeping most of the day d. Beginning to use slurred speech and losing coordination
The nurse is observing a child postoperatively following a tonsillectomy. Signs that should be reported immediately include:
a. Frequent swallowing b. Drowsiness c. Stable blood pressure d. No visible blood on examination of the throat
Which of the following nurse theorists focused her theory on 14 fundamental needs of individuals?
1. Dorothea Orem 2. Florence Nightingale 3. Martha Rogers 4. Virginia Henderson