The nurse is caring for a client with hypoxemia and metabolic acidosis. Which of these tasks can be delegated to the nursing assistant who is helping with the client's care?

A. Assess the client's respiratory pattern.
B. Increase the IV normal saline to 120 mL/hr.
C. Titrate O2 to maintain an O2 saturation of 95% to 100%.
D. Apply the pulse oximeter for continuous readings.


Ans: D. Apply the pulse oximeter for continuous readings.

Nursing

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The nurse, when reviewing male reproductive anatomy in a health education class for a group of students, asks them to identify the site of sperm production

Which structure identified by the group would indicate to the nurse that the teaching was successful? A) Testes B) Seminal vesicles C) Scrotum D) Prostate gland

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The first-time parents of an infant girl 2 days postpartum are distressed at the jaundiced appearance of her skin and are eager for both an explanation and treatment for the problem

Which of the following responses by their physician is most accurate? A) "Your daughter's young liver is unable to get rid of the waste products from old red blood cells." B) "Because your daughter's kidneys are so small, they have a hard time getting rid of the wastes that are always accumulating in her blood." C) "Nearly half of all infants have this problem, and while it is distressing to look at, it is largely harmless and will resolve in time." D) "This is a sign that your baby needs more milk than she is currently getting, and increased breast-feeding will act to flush these pigments out of her system."

Nursing

A nurse in a long-term care facility is approached by an older resident who is crying and states: "You need to help me. The mean little men are in my room again. They are watching me from the corner and they are laughing at me

Make them go away." The nurse accompanies the resident to the room and there is no one in the corner of the room. What is the best response by the nurse? (Select all that apply.) a. "Yup, I see them. Let me call security to haul the men away." b. "Can you tell me what you are so fright-ened of?" c. "I will do my best to keep you safe." d. "I understand that you are very frightened and upset." e. "You know that there is no one there. Stop carrying on like this."

Nursing

The nurse administered the narcotic Demerol, 50 mg PO at 1400 to a patient with pain rated as 9 on a 0 to 10 scale. At 1430, the patient stated that the medication was not working and requested to have morphine IV,

which the provider had prescribed for severe pain. What is the nurse's best evaluation of this situation? a. The patient needs to understand that it takes time for the medication to reduce pain. b. Administering Demerol PO was not the best nursing intervention in this situation. c. The provider should be notified if the patient's pain is not relieved in 2 hours. d. Demerol PO was the best intervention because morphine IV can cause drug addiction.

Nursing