All of the following statements are common in a culture of bullying EXCEPT
A. "Jillian, as usual, is not capable of getting out on time."
B. "Can you cover for me while I take my break?"
C. "Stop complaining. Dr. Smith has favorites and that's the way it is."
D. "If you want this job, you'll have to stop being so sensitive."
ANS: B
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Ten drops
What will be an ideal response?
A 78-year-old nursing home resident with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me."
In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident: a. may have a cognitive impairment associated with medication effects. b. may be developing Alzheimer‘s disease associated with advanced age. c. had a transient ischemic attack and developed sensory perceptual alterations. d. has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.
Counting an infant's respiratory rate for 15 seconds and then quadrupling that number:
A) is recommended because it is the quickest way to determine if the infant's baseline respiratory rate is abnormally slow or abnormally fast. B) may yield a falsely low respiratory rate because infants may have periodic breathing or variable respiratory rates with short periods of apnea. C) is impractical because the inherent respiratory rate of an infant is usually rapid and counting for such a short period of time leaves room for error. D) is appropriate only if you are auscultating the child's respirations with a stethoscope while simultaneously listening to lung sounds.
The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?
A) Venous insufficiency B) Stasis ulceration C) Arterial occlusion D) Dependent edema