The nurse working at a community health center is caring for a client who required bilateral amputation of both arms. How would the nurse measure pulse rate?
1. By palpating the temporal pulse
2. By palpating the carotid pulse
3. By palpating the brachial pulse
4. By palpating the femoral pulse
Correct Answer: 1
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The nurse identifies the client at risk for sensory overload based on several factors, including:(Select all that apply) Standard Text: Select all that apply
1. In-patient hospitalization 2. Extreme shortness of breath 3. Signs of depression 4. Increased anxiety over a new diagnosis 5. Lost hearing aids
When a nurse is unsure about how to perform a patient care procedure, the nurse's best action would be to:
1. ask another nurse. 2. discuss the procedure with the patient's physician. 3. look up the procedure in a nursing textbook. 4. consult the agency procedure manual and follow the guidelines for the procedure.
A person's radio has a frayed cord. You should:
a. Fix it b. Remove it from the room and tag it for repair c. Respect the person's right to use the radio d. Use the person's money to buy a new ra-dio
When the patient demonstrates a rash 30 minutes after she has taken a dose of penicillin, the nurse recognizes that the patient is likely demonstrating which type of drug reaction?
A) Allergy B) Anaphylaxis C) Antagonistic D) Idiosyncratic