A patient has been on furosemide for the past 2 months. While hospitalized after abdominal surgery, the patient calls for the nurse, stating, "I've gotten very short of breath all of a sudden. I'm having chest pain too"
Which problem would the nurse suspect? a. Gastroesophageal reflux
b. Stable angina
c. Pulmonary edema
d. Pulmonary embolism
d
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The nurse tells the schizophrenic patient "it's time to go to bed." The patient responds with "it's time for bed, it's time for bed, it's time for bed." The patient's response is an example of ____________________
ANS:
A patient with ESRD comes into the emergency department in severe acidosis. The nurse notes that the respiratory rate is 36 breaths/minute
The nurse understands the pathophysiology of this response and explains to the student nurse that the patient's A) anxiety level is high, and the body is trying to release endorphins. B) chemoreceptors in the carotid and aortic bodies have noticed the pH change and altered the ventilator rate. C) kidneys are not able to buffer the acid and require the help from the lungs. D) lungs are trying to excrete excess hydrogen.
The nurse is caring for a 2½-year-old child with facial burns who needs oxygen. Which method of administration would be most appropriate for the nurse to administer the oxygen to this child?
A) Isolette B) Nasal cannula C) Mask D) Tent
Which option reflects a barrier to effective delegation by the nurse?
1. Trying to do everything for the patients 2. Trying to empower staff 3. Providing feedback to staff 4. Little need to delegate