Which function or assessment finding in a client being admitted to the postanesthesia care unit after surgery is the best indication that the client's respiratory status does not require immediate attention?
A. The client is able to talk.
B. The client is alert and oriented.
C. The client's oxygen saturation is 90%.
D. The client's chest rises and falls rhythmically during respiration.
C
The client may have impaired gas exchange at the alveolar capillary level and still be able to talk and be alert and oriented. The chest may continue to rise and fall rhythmically. The definitive assessment finding that indicates whether gas exchange is effective is the degree of oxygen satu-ration.
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All of the following are ways to assess a patient's spiritual needs except
a. Identifying the patient's religious preference from their chart b. Observing for identifying jewelry or artifacts in the patient's personal belongings c. Looking for any religious books in the pa-tient's room d. Asking the patient's neighbor if he or she has heard the patient praying
A client presents to the emergency department via ambulance with a heart rate of 210 beats/minute and a sawtooth waveform pattern per cardiac monitor
The nurse is most correct to alert the medical team of the presence of a client with which disorder? A) Asystole B) Premature ventricular contraction C) Atrial flutter D) Ventricular fibrillation
A student must come back to the learning laboratory to repeat the skills check for insertion of a nasogastric tube. The student would likely benefit most from telling herself which of the follow-ing statements?
a. "Get it right! You are going to flunk out if you mess this up again!" b. "I know I can do this! I know I can do this!" c. "I cannot believe I made that mistake again." d. "I did it right! That instructor is wrong!"
The nurse makes a visual aid differentiating between mild, moderate, and severe anemia. The signs and symptoms of mild anemia include: (Select all that apply.)
a. hemoglobin of 14.4 g/dL. b. palpitations. c. dyspnea on exertion. d. pallor. e. fatigue.