In order to accurately measure a patient's respiratory rate, it needs to be taken manually over one full minute, making this the vital sign that is most often neglected in clinical practice. This is despite the knowledge that the respiratory rate is often considered to be the single most important vital sign in deteriorating patients
Indicate whether this statement is true or false.
ANS: T
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The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the nurse need to collaborate when caring for this client?
A) Measuring vital signs B) Measuring intake and output C) The client's recent eating behaviors D) Identifying current oxygen saturation level
An older patient asks a nurse, "I really have trouble sleeping and my doctor does not want to prescribe a sleeping pill for me. He says they are not good for older people. I really don't under-stand his response. Can you help me?"
The best response by the nurse is: a. "Sleeping medications have many adverse effects in older people and only have minimal effects in improving sleep." b. "Prescription sleeping medications have many adverse effects in older people. Why don't you try using an over-the-counter medication?" c. "Sleeping medications do not provide any improvement in sleep for older people." d. "Sleep problems are common in older peo-ple. There really is nothing that you can do to help with that."
A renowned nursing theorist who is the author of several books is described as being powerful. What type of power does this represent?
a. Coercive power b. Legitimate power c. Informational power d. Expert power
A patient comes to the clinic with severe spastic paralysis. During the health history the patient asks a nurse which drug could be used in an attempt to provide relief from the spasms
The nurse explains that the only benzodiazepine used to treat spasticity is a. carisoprodol (Soma). b. tizanidine (Zanaflex). c. orphenadrine (Norflex). d. diazepam (Valium).