Which patient would the nurse see first at the start of the shift?
a. A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F
b. A patient with hepatic encephalopathy who is being rude to the nursing assistant
c. A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180
d. A patient with circumferential burns of the right leg who is complaining of numbness in the right foot
ANS: D
You might also like to view...
Which of the following warnings is used to alert the American people about credible terrorist threats?
a. Imminent threat b. Elevated threat c. Unlikely threat d. Likely threat
A client requests information on weight loss approaches. Which goal should the nurse identify for this client?
a. Participate in 75 minutes of aerobic activity each day b. Weight loss of 12% of current body weight in 6 months c. Weight loss of 6% of current body weight in one month d. Verbalize methods to reduce weight through dietary planning
Nursing outcome classification (NOC) is a method of classification of:
1. the nursing process. 2. the nursing care plan. 3. nursing goals. 4. nursing intervention outcomes.
The client has a documented advance health care directive that indicates that no resuscitative measures should be employed in the event of a respiratory or cardiac arrest
The client begins to exhibit severe dyspnea and air hunger and says, "Please do something, I can't breathe." What action should be taken by the nurse? 1. Offer the client comfort measures until death occurs. 2. Call the client's physician for direction. 3. Initiate resuscitative measures. 4. Check the medical record to ascertain the terms of the directive.