Which statement about the four types of data collection is true?
a. A complete database is more focused than problem centered
b. Follow up data involves rapid collection
c. Complete database is only objective data
d. Complete database is used to formulate nursing diagnosis and nursing process
Answer: d. Complete database is used to formulate nursing diagnosis and nursing process
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The nurse is starting to administer a unit of packed red blood cells (PRBCs) to a patient admitted in hypovolemic shock secondary to hemorrhage
Vital signs include blood pressure 60/40 mm Hg, heart rate 150 beats/min, respirations 42 breaths/min, and temperature 100.6° F. What is the best action by the nurse? a. Administer blood transfusion over at least 4 hours. b. Notify the physician of the elevated temperature. c. Titrate rate of blood administration to patient response. d. Notify the physician of the patient's heart rate.
The nurse is assessing a client before surgery. Which assessments contraindicate the client having surgery as scheduled? (Select all that apply.)
a. Potassium level of 2.8 mEq/L b. International normalized ratio (INR) of 4 c. Prothrombin time (PTT) of 30 seconds d. Calcium level of 8.8 mEq/dL e. Positive pregnancy test f. Platelet count of 150,000
Most child abuse deaths occur for which of the following reasons?
a. neurological injuries, with most of these being head injuries b. bleeding from cuts c. smothering or serious lack of oxygen for any number of reasons d. abdominal injuries
If a choking victim loses consciousness, you should
A) position the patient in the supine position, tip the head back, and begin CPR. B) place the victim in the prone position and apply steady downward pressure on the back. C) immediately begin rescue breathing once every five seconds. D) never place your fingers in the victim's mouth.