The nurse is working in the postanesthesia care unit (PACU) and receives a client from the operating room (OR). What does the nurse assess first?
a. Client's endotracheal tube
b. Client's nasogastric tube
c. Client's Foley catheter
d. Hemovac drain at the incision site
A
The first priority for this client is to assess airway, breathing, and circulation postoperatively. Therefore, the patency of the client's endotracheal (ET) tube should be determined first. All oth-er drains should be assessed, but they are not the priority.
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A patient has a nursing diagnosis of Noncompliance with medication regimen related to a belief that God will heal her and that it would show a lack of faith to take the medications
The nurse and a clergyman have spent some time discussing spiritual and treatment issues with the patient. Which of the following statements made by the patient would indicate that progress is being made toward achieving compliance with healthcare therapy? Select all that apply. a. "I will try to pray more often for stronger faith that God will heal me." b. "Let me think about it until tomorrow; I may see my way to taking those pills then." c. "You know, I've known some very holy people who were not cured by God." d. "There is no confusion in my mind as to the right thing for me to do."
A patient with bipolar disorder who is taking divalproex sodium [Valproate] has just been admitted to the hospital. During the admission assessment, the patient tells the nurse about recent suicidal ideation
The nurse observes several areas of bruising over soft tissue areas and notes a weight gain of 10 pounds since the last admission 1 year ago. What will the nurse do? a. Ask the patient whether the bruises are self-inflicted. b. Contact the provider to report these find-ings. c. Give the patient information about weight loss. d. Request an order for an increased dose to help with depressive symptoms.
Healthcare providers should friend patients only if:
a. they have been their patients for at least 5 years. b. the patients ask them to be a friend. c. the patient has a chronic disease. d. they check their social media policy at work.
The M'Naghten test requires that if a defendant either does not know the significance of his or her actions or does not know that it was wrong, he or she:
a. must be hospitalized b. can still be tried in criminal court c. must be appointed a guardian d. cannot be held legally accountable