A nurse observes a client's lips and nail beds are cyanotic, which means that there is:
a. pale skin coloration c. decreased oxygen supply to the area
b. buildup of bile pigment in the skin d. increased redness to the skin
C
The skin can be an indicator of a decrease in oxygen supply when cyanosis is noted in the client's lips, skin, or nail beds.
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When preparing a teaching plan for a group of new mothers on how to bathe their newborns, a community health nurse focuses on the psychomotor domain of learning. Which of the following would the nurse include?
A) Having the group state the steps of the task B) Having the group demonstrate the task on a doll C) Having the group describe how to bathe the baby D) Having the group compare how it differs from adult bathing
A client is recovering from a liver biopsy. What should the nurse do when caring for this client after the procedures?
1. Instruct the patient to avoid deep breathing to prevent liver pressure. 2. Check the client's coagulation time. 3. Elevate the head of the bed. 4. Have the client lie on the right side with the bed flat.
The nurse is caring for a patient in cardiogenic shock who is being treated with an infusion of dobutamine (Dobutrex)
The physician's order calls for the nurse to titrate the infusion to achieve a cardiac index of >2.5 L/min/m2 . The nurse measures a cardiac output, and the calculated cardiac index for the patient is 4.6 L/min/m2 . What is the best action by the nurse? a. Obtain a stat serum potassium level. b. Order a stat 12-lead electrocardiogram. c. Reduce the rate of dobutamine (Dobutrex). d. Assess the patient's hourly urine output.
A patient on the inpatient psychiatric–mental health unit was discovered attempting to asphyxiate himself using a blanket. Which of the following measures should the care team prioritize in the patient's immediate care?
A) Assessing the specific motivation for the patient's attempted suicide B) Placing the patient on suicide precautions C) Teaching the patient improved coping skills D) Managing the patient's anxiety