What is a normal blood pressure?
The American Heart Association recommends an optimal blood pressure of less than 120/80 .
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The nurse performs all of the following actions when examining the anus EXCEPT
a. ask the patient to take a breath in and hold it b. glove and lubricate a finger and rotate the inserted finger 360 degrees c. assess for anal sphincter weakness d. document perianal varicosities as hemorrhoids
A patient with acute respiratory distress syndrome (ARDS) is placed in the prone position. When prone positioning is used, which information obtained by the nurse indicates that the positioning is effective?
a. The patient's PaO2 is 89 mm Hg, and the SaO2 is 91%. b. Endotracheal suctioning results in clear mucous return. c. Sputum and blood cultures show no growth after 48 hours. d. The skin on the patient's back is intact and without redness.
Until myelination of the spinal cord is completed, the child will:
a. have some difficulty in walking b. have difficulty kicking a ball forward without losing balance c. experience transitory paresthesia of the legs d. have diminished feeling from the waist down
During an assessment of a school-age child, the nurse should:
1. Not speak to the child, as this might frighten them. 2. Speak only to the parents, since they are the only ones who will understand what you are doing. 3. Sing lullabies to soothe the child. 4. Speak directly to the child, giving rationale for all actions.