Using a nursing intensity classification system, the nurse manager assesses that the client requiring the greatest amount of care is the
a. 24-year-old with a 3-day-old fractured femur in Russell's traction.
b. 37-year-old in isolation for hepatitis who is vomiting.
c. 42-year-old 1 day after a craniotomy.
d. 76-year-old 4 days after a cerebrovascular accident (CVA) who is comatose.
C
The craniotomy client will need high-level assessment and highly technological procedures. The other clients, although ill, have common care problems that require no more than routine care investment.
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The nurse is reviewing labs on a new admit. The client's hemoglobin is 8.0; platelets are 75,000, AST 75. Which nursing action is best?
1. Contact the physician. 2. Request the labs to be redrawn. 3. Assess blood pressure. 4. Determine the client's blood type and Rh.
A critically ill patient has an absolute neutrophil count of 1,000 cells/mm3 . The nurse assesses a single patient temperature of 101 degrees F; subsequent temperatures were normal, and the patient reports no other new symptoms
What is the best nursing action? A) Assume that the elevated temperature was erroneous. B) Evaluate for acute infection. C) Assess vital signs more frequently. D) Document the temperature results as usual.
A nurse is using SBAR. Which information will the nurse report for the "B"?
a. The patient had a broken right leg with a cast applied 2 days ago. b. The toes are cool and pale. c. The patient is reporting severe pain—10 out of 10—even after pain medication was given. d. The nurse requests that the primary health care provider examine the patient.
The RDA for carbohydrates is based on the minimum amount of glucose used to fuel the brain. This is not an appropriate guideline for determining carbohydrate intake
It is more appropriate to use the Acceptable Macronutrient Distribution Range (AMDR). What is the suggested carbohydrate intake put forth by the AMDR? A) Carbohydrates should make up 25% to 50% of total dietary calories. B) Carbohydrates should make up 45% to 65% of total dietary calories. C) Carbohydrates should make up 50% to 75% of total dietary calories. D) Carbohydrates should make up 65% to 85% of total dietary calories.