While performing an admission assessment, the nurse auscultates a high-pitched, scratching, and grating sound at the left lower sternal border. The nurse should know that this would be documented as what type of sound?
A) Paradoxical sound
B) Split sound
C) Pericardial murmur
D) Pericardial friction rub
D
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A friend shares with a nurse that her mother has been in a very depressed mood lately and that she is concerned her mother should see a psychiatrist
To best determine whether the mother might be experiencing a major depressive disorder, the nurse should ask the friend: 1. "Does your mother cry a lot, or is she just quiet and sad most of the time?" 2. "Has her depressed mood caused significant interruption of daily routines?" 3. "How often does she attend social events outside of the home?" 4. "Has she been depressed for more than a week?"
A patient who has had a total parathyroidectomy has returned to the unit from PACU. The nurse caring for the patient knows to assess for what complication following this surgery?
A) Muscle twitching B) Hypercalcemia C) Hemorrhage D) Fatigue
The nurse manager makes sure that the staff members who work in a local clinic are competent in their job responsibilities. Which of the public health core functions is being demonstrated?
a. Assurance b. Assessment c. Prevention d. Policy development
Gerald has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the hospital by two policemen who had broken up a fight Gerald had gotten into in a neighborhood bar
Gerald is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bi-state area to promote his bid for the presidency. Gerald has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately following his previous admissions. Which of the following would be a nursing management priority for Gerald at this time? A) Administering mood-stabilizing medications to control his delusional thinking because doing so will curtail his desire to drink B) Taking baseline vital signs and then monitoring them on an ongoing basis to ascertain if Gerald is exhibiting early signs of alcohol withdrawal C) Suggesting that Gerald refrain from being intrusive and annoying others with his constant chatter about his delusional thinking D) Referring Gerald to an outpatient community substance abuse treatment center because his addiction has to be adequately addressed before his bipolar problems can be effectively treated