A patient in the emergency department has a heart rate of 140 beats per minute. Which nursing interventions are indicated?
1. Assess the patient's temperature.
2. Administer atropine.
3. Present a calm demeanor.
4. Assess the patient for pain.
5. Prepare for intubation.
1, 3, 4
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On their first visit to a critically ill patient, family members stand in the doorway of the room, making no effort to approach the patient. What is the most appropriate nursing action?
A) Instruct the family where the patient can be touched and what to say. B) Engage the family in social conversation to ease them into the milieu. C) Use visiting hours to explain to the family the general status of the patient. D) Leave the family to adjust to the situation when they are ready.
Which of the following activities should the nurse implement to decrease shearing force on the client with a stage II pressure ulcer?
A) Support the client from sliding in bed B) Lubricate the area with skin oil C) Improve the client's hydration D) Pull client up under the arms
The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?
A) Research the culture and base care on findings. B) Ask other Asians to explain their culture. C) Just ask the family about their culture and listen. D) Hire an interpreter to explain the family culture.
____________________ is the term used to describe wandering away from the facility.
Fill in the blank(s) with the appropriate word(s).