During the health interview of the head and neck, the patient tells the nurse about having a lump in the neck. Which question would the nurse ask to assess manifestations associated with this lump?
A) "Do you have difficulty swallowing?
B) "Do you prefer hot or cold weather?"
C) "When did you first notice the lump?"
D) "Is there more than one lump?"
A
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A patient with severe vascular fluid loss from third spacing is being treated with intravenous hypertonic saline in an attempt to pull fluid from the extravascular space to the vascular space
What nursing assessment result is most indicative of a serious complication of the use of intravenous hypertonic saline? A) Increased urine output B) Decreased peripheral edema C) Slightly elevated blood pressure D) Pulmonary adventitious sounds
The target range for PaCO2 when using hyperventilation to lower ICP is
a. 25 to 30 mm Hg. c. 35 to 40 mm Hg. b. 25 to 35 mm Hg. d. 35 ± 2 mm Hg.
The nurse is caring for a male Islamic patient who has just died. Which action is the priority for the nurse to take when postmortem care is provided?
a. Arranging for embalming to preserve the body until burial b. Arranging for male staff to gently wash the patient's body c. Arranging for transportation of the body to the crematorium d. Preparing the room so that the family can say the rosary at the bedside
In a team meeting a nurse says, "I'm concerned about whether we are behaving ethically in using restraint to prevent one patient from engaging in self-mutilating behavior
while the care plan for another self-mutilating patient calls for one-on-one supervision." Which ethical principle most clearly applies to this situation? a. Beneficence b. Autonomy c. Fidelity d. Justice