The blood pressure depends on four conditions. List them.
What will be an ideal response?
1. Volume of circulating blood
2. Force of the heartbeat
3. Condition of the arteries
4. Distance from the heart to the point where the pressure is taken
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Mrs. Brown has an intercerebral hematoma that is being managed medically. The nurse notes that Mrs. Brown is exhibiting ataxic breathing. The nurse should
A) realize that all patients with head injuries exhibit changes in respiratory patterns, so she should not be alarmed. B) notify the physician and make sure the equipment for intubation and ventilation is accessible. C) insert a nasopharyngeal airway to suction the patient. D) realize this is an indication of improved neurologic function.
During a physical assessment, the nurse listens for adventitious lung sounds. Crackles are classified as fine, medium, or coarse. When are these sounds most often auscultated?
a. During expiration b. Following expiration c. During inspiration d. Following inspiration
Surgeons are deemed solely responsible if an item such as a sponge is inadvertently left inside a patient during a procedure
Indicate whether this statement is true or false.
A case manager is reviewing the records of the clients in the nursing unit. Which note(s) in a client's record indicate an unexpected outcome and the need for follow-up?
A. A client is performing his own colostomy irrigations. B. A client with a central venous catheter has a temperature of 100.6° F. C. A client with a new diagnosis of diabetes mellitus is self-administering insulin. D. A client who has just undergone surgery has a urine output of more than 30 mL/hr. E. A client who has just undergone surgery is getting relief from the prescribed pain medication.