A nurse is caring for a 28-year-old man with HIV who has been diagnosed with pneumonia. In assessing the patient, which of the following observations takes immediate priority?
A) Oral temperature of 100° F
B) Tachypnea and restlessness
C) Frequent loose stools
D) Weight loss of 1 lb since yesterday
Ans: B
Feedback: In prioritizing care, the pneumonia would be assessed first by the nurse. Tachypnea and restlessness are symptoms of altered respiratory status and need immediate attention.
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The nursing student submits a care plan to the nursing instructor for a review prior to implementing the nursing interventions. Which of the following nursing diagnostic statements is written incorrectly?
a. Ineffective coping related to inadequate support systems as evidenced by patient's verbalization, "I don't have any friends or family in town. I just moved here a week ago." b. Activity intolerance related to immobility as manifested by shortness of breath and patient's verbalization of fatigue. c. Insomnia and knowledge deficit related to stress as evidenced by patient report of difficulty sleeping and lack of energy. d. Self-care deficit bathing related to upper extremity weakness as manifested by inability to wash body.
Clients who have nutritional deficiencies before surgery are MORE prone to have which of the following postoperative complications?
a. atelectasis c. renal failure b. delayed wound healing d. hepatitis B
A child weighing 44 lbs. is prescribed to receive vancomycin hydrochloride (Vancocin) 30 mg/kg/day in divided doses every 6 hours
The nurse is using a volume controlled chamber to administer the medication and the medication available is 1 g/20 mL. How many mL of fluid will the nurse need to add to the volume controlled chamber to equal 100 mL? 1. 88 mL 2. 97 mL 3. 112 mL 4. 131 mL
Strategies to help prepare a successful proposal include:
A) Excluding any preliminary work or pilot study B) Selecting a problem with clinical or theoretical significance C) Writing what is truly important to you and your staff D) Selecting a team with at least seven members.