The nurse assesses a client during suctioning. Which finding indicates that the procedure should be stopped?
a. Heart rate increases from 86 to 102 beats/min.
b. Respiratory rate increases from 16 to 20 breaths/min.
c. Blood pressure increases from 110/70 to 120/80 mm Hg.
d. Heart rate decreases from 78 to 40 beats/min.
D
A decrease in heart rate indicates that the client is not tolerating the procedure, and the vasovagal reflex may be stimulated. An increase in heart rate may be stimulated by suctioning and is expected, as is a slight increase in blood pressure. A slight increase in respiratory rate after the procedure might be caused by the feeling of oxygen being suctioned from the client's airway, along with secretions.
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1. Abrasion 2. Excessive dryness 3. Ammonia dermatitis 4. Erythema
Illness management is an agreed-on outcome for a client with severe mental illness receiving
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Technology has been useful in reducing errors by assisting the health care team to identify the patient before rendering care. The most common way for nurses to identify patients using technology is through which of the following?
1. Handheld devices 2. Use of barcodes 3. Use of computers on wheels 4. Reviewing patient monitors
One way the nurse may influence proposed administrative law is by
A. Calling, e-mailing, faxing, or writing the leaders of the House and Senate concerning what the administrative law should be. B. Periodically writing the nurse's legislators about what appropriate regulation might be. C. Promising to contribute money to the legislator's reelection campaign if the administrative law reflects the nurse's views. D. Providing input, either verbally or in writing, to the involved agency, after notice of proposed rules is published.