A nurse performs an assessment on a patient who has been admitted to a long-term care facility for physical rehabilitation. What is the term for this type of assessment?
A) Ongoing assessment
B) Comprehensive assessment
C) Emergency assessment
D) Focused assessment
B
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After receiving a handoff report from the night shift, the nurse completes the morning assessment of a patient with severe sepsis
Vital sign assessment notes blood pressure 95/60 mm Hg, heart rate 110 beats/min, respirations 32 breaths/min, oxygen saturation (SpO2) 96% on 45% oxygen via Venturi mask, temperature 101.5° F, central venous pressure (CVP/RAP) 2 mm Hg, and urine output of 10 mL for the past hour. The nurse initiates which active physician order first? a. Administer infusion of 500 mL 0.9% normal saline every 4 hours as needed if the CVP is < 5 mm Hg. b. Increase supplemental oxygen therapy to maintain SpO2 greater than 94%. c. Administer 40 mg furosemide (Lasix) intravenous as needed if the urine output is less than 30 mL/hr. d. Administer acetaminophen (Tylenol) 650-mg suppository per rectum as needed to treat temperature > 101° F.
The transcriber of a medication order must be familiar with medical terminology and abbreviations
Indicate whether the statement is true or false
Catalysts for protein, fat, and carbohydrate metabolism are found in
A. fibers. B. minerals. C. fat-soluble vitamins. D. water-soluble vitamins.
The nurse is reinforcing teaching for a patient who has chronic kidney disease. Which patient statement indicates the need for further teaching?
a. "I do not use salt substitute." b. "My fluid intake is restricted." c. "As long as I don't eat protein, I'll be okay." d. "Since I'm on dialysis, I cannot eat just anything I want."