The nurse is reviewing data for omissions or inconsistencies. This activity is considered as being:
a. data collection. c. data organization.
b. data verification. d. data clustering.
ANS: B
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The nurse is caring for a patient admitted with a subarachnoid hemorrhage following surgical repair of the aneurysm
Assessment by the nurse notes blood pressure 90/60 mm Hg, heart rate 115 beats/min, respiratory rate 28 breaths/min, oxygen saturation (SpO2) 99% on supplemental oxygen at 3L/min by cannula, a Glasgow Coma Score of 4, and a central venous pressure (CVP) of 2 mm Hg. After reviewing the physician orders, which order is of the highest priority? a. Lasix 20 mg intravenous push as needed b. 500 mL albumin intravenous infusion c. Decadron 10 mg intravenous push d. Dilantin 50 mg intravenous push
When assessing the quality of a client's pedal pulses, what is the nurse assessing? Select all that apply
a. Rhythm of the pulses b. Strength of the pulses c. Bilateral equality of pulses d. Rate compared with apical pulse
An unlicensed assistive staff member says to the nurse, "I need for you to assess a patient. Something is coming out of his rectum." The nurse realizes that the assistant most likely observed which health problem?
1. internal hemorrhoids 2. colostomy 3. prolapsed hemorrhoids 4. femoral hernia
The client is receiving enteral nutrition. He reads on the bag hanging at his bedside that the liquid is a polymeric formulation. He asks the nurse what this means. What is the best response by the nurse?
1. "It means that your formulation contains varying amounts of free amino acids and peptide combinations." 2. "It means that your formulation contains various mixtures of proteins, carbohydrates, and lipids." 3. "It means that your formulation contains a specific nutrient combination for your particular condition." 4. "It means that your formulation contains a single nutrient, protein, lipid, or carbohydrate."