Which of the following examples of patient data needs to be validated? Select all that apply
A) A patient has trouble reading an informed consent, but states he does not need glasses.
B) An elderly patient explains that the black and blue marks on his arms and legs are due to a fall.
C) A nurse examining a patient with a respiratory infection documents fever and chills.
D) A patient in a nursing home states that she is unable to eat the food being served.
E) A pregnant patient is experiencing contractions that are 2 minutes apart.
F) Following a MVA, the teenage driver with alcohol on his breath states that he was not drinking.
A, B, F
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A patient hospitalized for treatment of a severe urinary tract infection may be developing septic shock. The nurse would monitor for the development of which finding associated with early septic shock?
1. Cold extremities 2. Increase in serum lactate levels 3. Decreased SCVO2 4. Widening of pulse pressure
When selecting a cuff for a child, the nurse should confirm that the width of the cuff covers approximately ____________ of the upper arm
Fill in the blank(s) with correct word
Which of the following is the highest priority for admission to inpatient care?
A) Confusion or disorientation B) Need for medication changes C) Safety of self or others D) Withdrawal from alcohol or other drugs
A patient's cholesterol screening shows a high density lipoprotein (HDL) value greater than 40, and a total serum cholesterol level of 188. The patient has no other cardiac or vascular risk factors. What does the nurse advise the patient to do?
a. Modify the diet to exclude fats and increase fiber, then repeat tests. b. Contact the physician for a prescription of antilipemic medication. c. Repeat total and HDL cholesterol testing in 6 to 12 weeks. d. Repeat total and HDL cholesterol testing during the next routine exam.