The nurse finds the client is suddenly unable to move the right arm. The nurse employs critical thinking skills by:
1. Notifying the physician.
2. Applying heat to the arm.
3. Questioning the client about when the symptoms started.
4. Discontinuing the IV in that arm.
3
Rationale 1: The nurse who discovers a new symptom in a client must first assess the client and gather data such as vital signs, subjective information from the client, and observable data such as swelling, discoloration, and appearance. To begin acting without first gathering data can result in inappropriate actions related to the cause of the problem. While the physician will need to be notified, the nurse first must gather all of the important information that will be needed to make diagnostic and treatment decisions.
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The recommended method for spreading cells from the Cytobrush onto the slide is to
a. lightly brush the slide. b. press the Cytobrush down firmly on the slide. c. use a rolling motion. d. wipe the Cytobrush back and forth.
Levels of regulation to which the nurse must adhere when administering medications include: (Select all that apply.)
1. city. 2. federal. 3. state. 4. institutional.
The patient is a 56-year-old man who has terminal cirrhosis and severe ascites. He is lethargic but is demonstrating signs of discomfort and respiratory distress
The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient. After the physician leaves to prepare for the procedure, the wife asks the nurse whether the procedure is really necessary. The nurse should respond by saying this: a. is the first step in the patient's recovery. b. may help the patient feel better. c. is needed to detect increased intracranial pressure. d. is needed to analyze pleural fluid.