What assessment findings would indicate respiratory dysfunction when examining a patient with respiratory difficulty? (Select all that apply.)
a. Flushed facial skin
b. Cyanotic nail beds
c. Abdominal distention
d. Curved spine
e. Clubbed fingers
B, C, E
Clues to respiratory dysfunction are a distended abdomen, cyanotic nail beds, and clubbed fin-gers from inadequate oxygenation.
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According to the critical pathway developed by United Network for Organ Sharing, which of the following should be carried out by the critical care nurse? (Select all that apply.)
a. Complete the operating room checklist. b. Document the date and time of brain death. c. Insert two large-bore IV catheters. d. Maintain patient temperature between 36.5° and 37.5° C. e. Notify the supervisor of pending donation.
A medicine ordered q6h would be given how many times a day? _____
a. 4 c. 8 b. 6 d. 12
In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. The nurse must be alert and careful when taking verbal orders. One precaution the nurse should take is to:
a. write quickly. b. repeat the order to the physician. c. have another nurse listen on an extension. d. sign and initial the physician's name on the order.
A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse make to the child and the child's parents? Select all that apply
a. Replace whole milk for 2% or 1% milk. b. Increase servings of red meat. c. Increase servings of fish. d. Avoid excessive intake of fruit juices. e. Limit servings of whole grain.