The physician comes and examines J.O. He writes the following orders, then leaves, stating he will be back
in 1 hour to check on J.O.
Describe a plan for implementing these orders in order of priority.
What will be an ideal response?
Using the ABC (airway, breathing, circulation) system, the first action, if not already done, is to
initiate oxygen therapy. If oxygen has already been initiated, increase the rate to maintain the Spo2
at the ordered level. Place him on an ECG monitor and increase the IV fluid rate. Administer the three
"now" medications. Request the CXR study and blood work, and perform a physical assessment.
Keep J.O. on bed rest.
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Which of the following residents of an extended care facility is most likely to be characterized as dependent in terms of his or her capacity to perform activities of daily living?
A) Ms. Q, who needs to ring the call bell and then be accompanied to the toilet by a care aide. B) Mr. H, a man who needs the assistance of care staff to get off the bedpan after he voids. C) Mr. N, who requires regular prompts to toilet himself. D) Mrs. R, who has a long term, indwelling urinary catheter and needs help in performing the relevant care.
A client seeks medical attention for lethargy, weight gain, and a mass under the throat. Which question should the nurse ask when assessing this client?
a. "Have you had this mass since birth?" b. "Do you have a history of thyroid cancer?" c. "Do you include regular table salt in your diet?" d. "Does anyone else in your family have this problem?"
A person has returned from overseas and it is determined that he has Q fever. Which of the fol-lowing must occur?
a. This is not a disease that is on the notifia-ble list; nothing need be reported. b. The case must be reported to the state and local health departments. c. The patient must be isolated immediately. d. The patient will probably die, so it is not reportable.
The nurse documents the client's swollen lower extremities and measures the depth of a 4-mm indentation made 1 minute ago. Which is the best description for the nurse to use to describe the client's lower extremities?
1. 4+ pitting edema 2. Mild pitting edema 3. 4+ nonpitting edema 4. Severe nonpitting edema