What are the 3 parts of the nursing diagnosis?
a. Temperature, Pulse, respirations
b. Problem, etiology, symptoms
c. Medical diagnosis, defining characteristics, health perception
d. Medical diagnosis, MAR, potential risks
Answer: b. Problem, etiology, symptoms
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The nurse enters the adolescent client's room after the unlicensed assistive personnel (UAP) has finished bathing the client and finds used tissues on the floor by the bed, the client's bedpan on the foot of the bed, and the bath basin drying on
top of the bedside table. What is the nurse's priority action? 1. Reprimand the UAP. 2. Instruct the client to clean her room. 3. Discard tissues and put the bedpan and basin away. 4. Call housekeeping to clean the room.
CPR has been initiated on an adult patient. How will the nurse confirm the effectiveness of CPR?
a. Assessing an EKG pattern with each compression b. Assessing a palpable carotid pulse during each compression c. Assuring a compression depth of to 2 inches d. Observing pupils that change from pinpoint to dilated
The nurse should monitor clients taking which of the following medications closely for decreased efficacy if a cholinergic blocking drug is initiated? Select all that apply
A) Fluconazole (Diflucan) B) Meperidine (Demerol) C) Haloperidol (Haldol) D) Amitriptyline (Elavil) E) Digoxin (Lanoxin)
On the Celsius scale, water freezes at 0°C and boils at 100°C. In addition, body temperature is
98.6°C. Indicate whether the statement is true or false