The client is restless, short of breath, and breathing through the mouth, and needs to sit up to breathe. Which method of taking the temperature would be the best choice?
1. Take an axillary temperature with an electronic thermometer.
2. Use chemical strips to take the temperature.
3. Obtain an oral temperature with a glass thermometer.
4. Measure temperature rectally with an electronic thermometer.
ANS: 1
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The staff nurses formed a committee to improve holiday scheduling. After several meetings they have designed a new schedule and are preparing to put it into action today. What phase of Lewin's change theory is this committee performing?
1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces
The nurse teaches an older client about minimizing the risk of falls at home. Which does the nurse include in client teaching to prevent falls?
a. Install extra towel bars in the bathtub and near the toilet. b. Keep furniture so it can be easily walked around and keep pathways clear. c. Have a neighbor check on the client every afternoon. d. Secure throw rugs to the floor with double-sided tape.
Transcultural issues and conflicts are more likely to arise when nurses:
a. are aware of their own bias and judgments of others. b. judge another's behavior by their own cultural values. c. understand their own cultural beliefs and values. d. avoid judging others based on preconceived ideas.
The perinatal nurse is assessing a woman in triage who is 34 + 3 weeks gestation in her first pregnancy
She is worried about having her baby "too soon," and she is experiencing uterine contractions every 10 to 15 minutes. The fetal heart rate is 136 beats per minute. A vaginal examination performed by the health care provider reveals that the cervix is closed, long, and posterior. The most likely diagnosis would be: A) Preterm labor B) Term labor C) Back labor D) Braxton-Hicks contractions