Select the action the nurse should take first when a client becomes short of breath, pale, and diaphoretic and complains of localized chest pain after a new bottle of TPN has been hung
a. Bring the code cart into the room and prepare for cardiac pulmonary resuscita-tion.
b. Place the bed in Trendelenburg's position and turn the client on the left side.
c. Keep the head and body flat and elevate the legs.
d. Notify the physician that the client is having a myocardial infarction.
B
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Specifying the immediate, intermediate, and long-term goals of learning is an integral component of the teaching-learning process. Which of the following individuals should be included in this goal-setting process? Select all that apply
A) An advanced practice nurse B) The nurse who will conduct the teaching C) The patient himself or herself D) The patient's family members E) The patient's primary care provider
A nurse prepares the plan of care for a patient having a manic episode. Which nursing diagnoses are most likely? Select all that apply
a. Imbalanced nutrition: more than body requirements b. Disturbed thought processes c. Sleep deprivation d. Chronic confusion e. Social isolation
When is a glucose challenge test performed?
What will be an ideal response?
Which of the following examples demonstrates a breach of confidentiality and a violation of HIPAA?
A. Giving a report to the oncoming nurse in a conference room B. Discussing a patient's diagnosis with the patient's health care provider C. Providing patient information to the nursing assistant caring for the patient D. Sharing with other nurses on the unit that a patient is HIV-positive