A client with pulmonary edema has been admitted to the ICU. What would be the standard care for this client?
A) Intubation of the airway
B) BP and pulse measurements every 15 to 30 minutes
C) Insertion of a central venous catheter
D) Hourly administration of a fluid bolus
B
Feedback:
Bedside ECG monitoring is standard, as are continuous pulse oximetry, automatic BP, and pulse measurements approximately every 15 to 30 minutes.
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During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a:
a. Rectal polyp. b. Pruritus ani. c. Carcinoma. d. Pilonidal cyst.
The nurse is providing discharge instructions to a patient with visual alterations. Which statement by the patient indicates a need for further education?
a. "I should make sure the passageways are wide." b. "I should remove all the throw rugs." c. "I should keep the lights dim." d. "I can use a cane to feel for objects in front of me."
A nurse is responding to the scene of a small plane crash in the community. First responders are on the scene treating victims, but they have asked the nurse to notify the appropriate federal authorities. The nurse informs
A. The FBI B. The FAA C. FEMA D. The Department of Homeland Security
There are several defined ways of knowing. Which way of knowing is defined as "a priori knowledge that pertain to knowledge gained from thought alone?"
A) Empirics B) Personal C) Intuitive D) Somatic