A 35-year-old male was knifed in the street fight, admitted through the ER, and is now in the ICU. An assessment of his condition reveals the following symptoms: respirations shallow and rapid, CVP 15 cm H2O, BP 90 mm Hg systolic, skin cold and pale, urinary output 60-100 mL/hr for the last 2 hours. Analyzing these symptoms, the nurse will base a nursing diagnosis on the conclusion that the client has which of the following conditions?
a. Hypovolemic shock
b. Cardiac tamponade
c. Wound dehiscence
d. Atelectasis
Answer: b. Cardiac tamponade
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A nurse is going to volunteer her nursing skills and time at a hospital other than the one in which she is employed
Which of the following is true regarding potential liability related to the nurse's actions while volunteering? Select all that apply. A) The nurse should carry her own malpractice insurance. B) The hospital at which she is volunteering will protect her with its own professional liability insurance. C) The hospital at which she is employed will protect her with its professional liability insurance even when she is working off the job. D) There is no liability protection available for a nurse who is volunteering on her own time. E) The doctrine of respondeat superior does not apply in this situation. F) The captain of the ship doctrine applies in this situation.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and backgrounds of each of the individuals on her team,
and then assigns and delegates the appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague with details regarding the patients to whom Colleen has been assigned on the day shift. This is an example of: a. Accountability. b. Responsibility. c. Assignment. d. Delegation.
When starting a patient on a statin, education would include:
1. If they stop the medication their lipid levels will return to pretreatment levels. 2. Medication is a supplement to diet therapy and exercise. 3. If they have any muscle aches or pain, they should contact their provider. 4. All of the above
When caring for a patient who is deaf or hearing impaired,
A. keep the pitch of your voice low. B. raise the pitch of your voice as much as possible. C. stand with the light facing your back. D. speak as loudly as possible.