Which of the following would a nursing instructor use to describe Web 2.0?
A) Isolation
B) Individualistic
C) Collaboration
D) Static
C
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The nurse notices that a 5-month-old patient is having difficulty breathing, with nasal flaring, audible grunting, and sternal and intercostal retractions. The infant's respiratory rate is rapid, and the infant is restless and obtunded
What intervention should the nurse implement first? A) Position the baby with head in a neutral midline position and apply the jaw-thrust maneuver. B) Facilitate administration of an inhaled bronchodilator. C) Administer intravenous sedation or pain medication. D) Ask the parent to use comforting measures for the infant.
Which option is not a primary reason that documentation is important?
a. Documentation enables the team to pro-vide care to meet a resident's individual needs. b. Documentation helps defend the nurse in the event of a possible lawsuit. c. Documentation enables a patient to re-ceive consistent care from one shift to the next. d. Documentation is the basis for reim-bursement to the facility.
A client in diabetic ketoacidosis has an elevated serum potassium ion (K+) level. The nurse explains to the client that this is caused by
a. bicarbonate loss in the urine instead of K+ loss. b. binding of H+ to blood proteins. c. increased reabsorption of K+ in the distal tubule of the nephron. d. secretion by the kidneys of H+ and retention of K+.
A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find?
A) Intentional self-injurious behavior B) Pain to achieve a self-serving goal C) Malingering to avoid work D) Parents who were restrictive