A nurse can most accurately assess a client's heart rate and rhythm by which of the following methods?
A) Listen with the stethoscope at the fifth intercostal space mid-clavicular line
B) Listen with the stethoscope at the fifth intercostal space at the sternum
C) Listen with a stethoscope at the neck to the right of the cricoid process
D) Listen with a stethoscope at the second intercostal space left sternum
Ans: A
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A) Shivering increases body temperature and reduces the metabolic demand. B) Hypothermia reduces perfusion to the tissues. C) Hypothermia improves hypoxia. D) Hypothermia stimulates activity of clotting factors.
A patient has been treated with antiparkinson medications for 3 months. What therapeutic responses should the nurse look for when assessing this patient?
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The nurse is caring for an unresponsive patient who has terminal cancer with a Do Not Resuscitate order in effect
A family member tells the nurse, "I'll sue you and every other nurse here if you don't do everything possible to keep her alive." The nurse understands that protection from legal prosecution in this situation is provided by: a. legal immunity granted when acting ac-cording to the patient's expressed wishes. b. the legal view that the duty to put into effect the patient's wishes falls to the physician. c. knowledge of and compliance with facili-ty policies and procedures regarding end-of-life care. d. implementing interventions that preserve the patient's right to self-determination.
When doing a diet screening on a client, the nurse tries to use terms other than "diet" when asking about the foods the client eats. Which term is not an alternative term to the word "diet"?
A) Eating pattern C) Counting calories B) Eating style D) The foods you eat