The nurse employed in a hospital is working within a system that uses a case management approach to client care. The nurse would focus on providing care to a client:
1. within a given week.
2. throughout one calendar year.
3. during an episode of illness.
4. for the duration of insurance coverage.
ANS: 3
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The nurse is helping another nurse to take a blood pressure reading on a patient's thigh. Which action is correct regarding thigh pressure?
a. Either the popliteal or femoral vessels should be auscultated to obtain a thigh pressure. b. The best position to measure thigh pressure is the supine position with the knee slightly bent. c. If the blood pressure in the arm is high in an adolescent, then it should be compared with the thigh pressure. d. The thigh pressure is lower than the pressure in the arm, which is attributable to the distance away from the heart and the size of the popliteal vessels.
A nurse is caring for a premature newborn. What interventions does the nurse include on the baby's care plan? (Select all that apply.)
A. Bathe the baby daily with mild soap. B. Cradle baby in a linen nest in flexed position. C. Monitor response to warming measures. D. Reposition the baby every 4 hours. E. Weigh the baby once a week.
Because many residents in a long-term care facility are experiencing sleep problems, which routine should the nurse reevaluate?
A) Offering a light snack at bedtime B) Bathing residents in the evening rather than first thing in the morning C) Activities are concentrated in the morning to ensure evenings are free D) Encouraging residents to refrain from going to bed when they first feel drowsy in the evening
The nurse is performing an assessment of the client's skin when the nurse notes that the client has become pale and diaphoretic
The client's vital signs have remained stable since the beginning of the examination: blood pressure 138/76, heart rate is 88 beats per minute, and respiratory rate is 18 breaths per minute. Which of the following actions should the nurse take first? 1. The nurse immediately raises the client's head of bed. 2. The nurse asks the client, "Are you feeling anxious during this assessment?" 3. The nurse immediately notifies the client's healthcare provider. 4. The nurse provides the client with ½ cup of orange juice.