A patient with pneumonia is having difficulty maintaining a clear airway. Which action should the nurse take to ensure this patient is adequately ventilated? Select all that apply.
A. Assess vital signs daily.
B. Assess respiratory rates every shift.
C. Assess breath sounds at least every four hours.
D. Assess oxygen saturation level at least every four hours.
E. Assess skin color at least every four hours.
Answer: E
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A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. What action by the physician will the nurse anticipate?
a. Perform an amniotomy. b. Initiate tocolytic drugs. c. Order a sedative for the patient. d. Plan to do an emergency cesarean section.
Which of these statements about nutrition during adolescence is TRUE?
a. Kilocalorie requirements for girls tend to be greater than for boys. b. Nutrient needs decrease as this period begins. c. The need for vitamin D increases. d. Inadequate nutrient intake can occur because of peer and media influences.
Alternative dispute resolution usually involves at least one of the elements of mediation, fact finding, arbitration, and the use of ombudspersons. What occurs during mediation?
A) Uses a neutral third party, is a confidential, legally nonbinding process designed to help bring the parties together to devise a solution to the conflict B) Asks questions to clarify the issues C) Binding conflict resolution process in which the facts of the case are heard by an individual who makes a final decision for the parties in conflict D) Actual court hearings that focus on evaluating and resolving conflicts through discovery, presentation of evidence, sworn testimony including that of expert witnesses, and cross-examination.
A patient has been abusing barbiturates long term. When the patient begins a detoxification program, the nurse should be aware that:
a. abstinence syndrome is more dangerous than that occurring with opioid use. b. these are now schedule I drugs. c. these are currently the most popular street drugs. d. craving for heroin will eventually develop.