Assessment of a client in the postanesthesia care unit or recovery room is documented:
A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Hourly
B
A, B, C, and D. Conduct complete assessment of all vital signs. Compare findings with client's normal baseline. Continue assessing vital signs at least every 15 minutes until client stabilizes.
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An older patient is frustrated because of two hospitalizations within a year for a lung infection. Which response by the nurse is most appropriate?
1. "With aging the immune system just quits working." 2. "With aging there in an overall increase in the speed and strength of the immune response." 3. "With aging there is an increase in the number of B cells in the circulation which hinders the immune response." 4. "With aging there is a decrease in the speed and strength of the immune system, which increases the risk for developing an infection."
What observation in a child should indicate the need for a referral to a specialist regarding a communication impairment?
a. At 2 years of age, the child fails to respond consistently to sounds. b. At 3 years of age, the child fails to use sentences of more than five words. c. At 4 years of age, the child has impaired sentence structure. d. At 5 years of age, the child has poor voice quality.
These statements are about apical-radial pulses. Which is correct?
a. The rates should be the same. b. The apical rate should be greater than the radial rate. c. The radial rate should be greater than the apical rate. d. The radial rate can be higher than the api-cal rate.
A collection of individuals who have in common one or more personal or environmental characteristics is a definition of a(n)
a. Community b. Group c. Family d. Aggregate