The nurse is participating in a nursing research study based upon a particular nurse theory. The nurse is ultimately helping to develop:
a. standardized nursing care plans.
b. protocols.
c. nursing practice standards.
d. client discharge criteria.
ANS: C
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A nurse is caring for a dying patient. The family asks the nurse why there is a rattling in their loved one's chest. Which response is most appropriate?
A) The client picked up a virus and has respiratory symptoms. B) The client has been lying in bed and secretions pool in the lung bases. C) There is an accumulation of fluid in the pulmonary circulation and secretions throughout the respiratory tract. D) Thick sputum accumulates as the client dehydrates from having little oral intake.
A client with metastatic breast cancer is put on monoclonal antibody therapy. What side
effect should the nurse carefully monitor for when caring for this client? A) Constipation B) Anaphylaxis C) Hyperphagia D) Hypertension
A major clinical manifestation of rheumatic fever is:
a. Polyarthritis. b. Osler's nodes. c. Janeway spots. d. Splinter hemorrhages of distal third of nails.
An 84-year-old diabetic patient is admitted for insulin regulation
Which of the following sets of blood pressure (mm Hg), pulse (beats per minute), and respiration (breaths per minute) measurements, respectively, is considered to be within the expected limits for a patient of this age? a. Blood pressure 138/88, pulse 68, respirations 16 b. Blood pressure 94/52, pulse 68, respirations 30 c. Blood pressure 108/80, pulse 112, respirations 15 d. Blood pressure 132/74, pulse 90, respirations 24