Click on the down arrow for each response in the right column and select the correct choice from the list
1. The client's skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90% on room air. The client was diagnosed with COPD in 1993.
2. The nurse will apply oxygen at two liters per minute per healthcare provider's orders, when the client's oxygen saturation level is below 92%.
3. The client states, "I am so tired all of the time. I feel like I'm not getting enough air into my lungs."
4. The client is most likely experiencing an exacerbation of a chronic lung disease.
Correct Answer: 3, 1, 4, 2
"S" refers to subjective data that are provided by the client regarding the symptoms that the client is experiencing. "O" refers to objective data. The nurse documents information about the signs that the client is exhibiting. "A" refers to assessment. The nurse draws conclusions regarding the subjective and objective data that the nurse has collected about the client. "P" refers to planning. Planning indicates that interventions that the nurse can use to help resolve the client's problems or address the client's needs.
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a. Ask the patient about allergies to seafood or iodine. b. Remove all metal objects. c. Give the patient a special heart diet. d. Test arterial blood gases (ABGs).
What is meant by the nurse's being "present" with a patient? Select all that apply
a. Being open to patient's beliefs and concerns b. Setting the agenda and leading discussions c. Allowing the patient to tell stories about his illness d. Using active listening skills
An elderly female patient has a sudden onset of delirium during the first night of hospitalization. What does this episode suggest to the nurse?
1. The patient has an infection. 2. The patient is dehydrated. 3. The cause must be determined immediately because it can signal another health problem. 4. The patient has Alzheimer's disease.
A nurse values autonomy and self-determination as well as the preservation of life. This is an example of
a. conceptions of the ideal. b. cognitive dissonance. c. operative values. d. commitment.