In performing a structure evaluation to determine if orientation programs provide information necessary for job performance, an appropriate data source would include:
a. procedure manuals. c. client care budgets.
b. standards of care. d. standardized care plans.
ANS: A
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The best single indicator of fluid resuscitation in patients following a severe burn injury is
A) body weight. B) urine output. C) skin turgor. D) hematocrit levels.
A respiratory rate of 18 with a tidal volume of 450 may be termed:
A) Eupnea. B) Dyspnea. C) Bradypnea. D) Tachypnea.
A young woman was recently brought into an emergency department after being violently raped. Which is the most appropriate nursing intervention?
A) Discouraging her from discussing the event because this may further traumatize her B) Remaining nonjudgmental and actively listening to her recount of the events C) Avoiding discussion of the rape because the nurse may be subpoenaed to testify in court D) Helping the victim recount the episode by leading the conversation
The nurse is reviewing the prescription for a client with pneumonia. The client's vital signs are: Temperature 101.2°F (oral), BP 100/70, pulse rate 110/min., respirations 22, and oxygen saturation 96%. Based on these findings, which order should the nurse seek clarification for?
A. Schedule client for a chest x-ray. B. Start oxygen therapy at 3L/minute via nasal cannula. C. Administer intravenous (IV) fluids: 0.9% Normal Saline Solution at 125 ml/hour. D. Administer acetaminophen (Tylenol) 650 mg every 4 hours as needed for a temperature greater than 100.5°F.