In assessing the newborn for sepsis, one sign the nurse looks for is
a. a rise in blood pres-sure c. irregular respirations
b. an irregular pulse d. unstable temperature
D
Unstable temperature is a cardinal manifestation of sepsis. A rise in blood pressure, irregular pulse, and irregular respirations are not indicative of sepsis.
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Fat is necessary for the absorption and use of which of the following vitamins?
a. Vitamin A b. Vitamin D c. Vitamin C d. Vitamins A and D
A nurse on a medical-surgical unit has been asked to become a member of the hospital's Continuous Quality Improvement (CQI) committee. In preparing to serve on this committee, the nurse learns that CQI programs:
A) Establish accountability on the part of health care professionals B) Focus on the process used to provide care C) Identify incidents rather than processes D) Justify health care costs
A client diagnosed with obsessive-compulsive disorder is admitted to a psychiatric unit. The client has an elaborate routine for toileting activities. Which would be an appropriate initial client outcome during the first week of hospitalization?
1. The client will refrain from ritualistic behaviors during daylight hours. 2. The client will wake early enough to complete rituals prior to breakfast. 3. The client will participate in three unit activities by day three. 4. The client will substitute a productive activity for rituals by day one.
A nurse facilitating a social skills group recognizes that one patient monopolizes the group
After the session the psychologist asks the nurse, "Why did you let that patient monopolize the group?" A response from the nurse using appropriate assertiveness would be: a. "I didn't know what I was supposed to do. You could see how much the patient needed to control the meeting. So you don't think it was appropriate to let it be for today?" b. "I didn't let the patient monopolize the group. I wasn't sure if I ought to stop the behavior or let the patient talk. What could I have said to end the patient's monopolizing of the group?" c. "Honestly, I never feel you are satisfied with my work. Why don't you lead the group next time? That will give me an opportunity to observe you appropriately managing the patient's need to monopolize the group.". d. "I felt that the patient needed to express feelings and that the control was a rather tenuous one that required sensitivity and patience. I believe the other patients felt that, too, which is why they let the patient monopolize the group.".