You respond to a patient who has been having trouble with his indwelling urinary catheter. Vital signs? are: pulse,? 110; respiration? rate, 22; ETCO2?, ?28; temperature, 101.2degreesF. You? suspect:
Answer: Sepsis.
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The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. The nurse recognizes this is important because the:
a. Stool indicates anal patency. b. Dark green color indicates occult blood in the stool. c. Meconium stool can be reflective of distress in the newborn. d. Newborn should have passed the first stool within 12 hours after birth.
A patient on the high-acuity care unit has decided to accept the fact that they are terminally ill and forgo additional treatments for their disease. The patient has presented a valid living will
The family of the patient is not happy with the decisions made by the patient about the end-of-life care. They have asked the nurse to consider their feelings because their family member is acting this way as a result of feeling depressed. What response by the nurse is indicated? 1. "I must act as an advocate for your family member's wishes.". 2. "You can just go to the physician to have the plan of care changed.". 3. "Let's talk to the patient to see if we can get him to change his mind.". 4. "You just need to get on board for your family member's healthcare plan.".
Examples of individuals who may have an increased risk of malnutrition include
a. inactive middle-aged men. b. sleep-deprived adolescents. c. children with chronic infections. d. breast-fed infants.
Which of the following clients would be considered a primigravida?
A. A client at 18 weeks' gestation who had a spontaneous loss at 12 weeks B. A client at 13 weeks' gestation who had an ectopic pregnancy at eight weeks C. A client at 14 weeks' gestation who has a three-year-old daughter at home D. A client at 15 weeks' gestation who has never been pregnant before