A patient is receiving oxygen therapy for pneumonia. What should the nurse assess for to determine if the patient is hypoxic?
A) Restlessness
B) Cold hands
C) Confusion
D) Noncompliance
Ans: C
Feedback: The effectiveness of the patient's oxygen therapy is assessed by the arterial blood gas analysis or pulse oximetry. Presence or absence of cyanosis, the patient's respiratory rate, and depth or level of consciousness are not good indicators of oxygen effectiveness.
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A patient is experiencing a cough. _________________ ______________________ suppress cough by depressing the cough center in the medulla oblongata or the cough receptors in the throat, trachea, or lungs
Fill in the blank(s) with correct word
A client is brought to the emergency department by her spouse. The spouse tells the nurse that when they woke up that morning, his wife did not know who she was. The nurse knows that a differential diagnosis for this client would be what?
A) Dissociative disorder B) Trauma-induced amnesia C) Intracranial bleed D) Conversion disorder
A 6-month-old male infant is brought to the emergency department by his parents for inconsolable crying and pulling at his right ear
When assessing this infant, the nurse is aware that the tympanic membrane should be what color in a healthy ear? A) Yellowish-white B) Pink C) Gray D) Bluish-white
The patient is an American Indian admitted to the hospital for chemotherapy. At any given time, five family members are in the patient's room, which is private
The nurse tells the patient that according to hospital policy; only two visitors at a time are allowed. What does the best analysis by the nurse manager reveal about the nurse's action? 1. The nurse should have assessed the patient's preferences about how many family members she wanted to be present. 2. The nurse should have called the physician and obtained an order for additional family members to be present. 3. This was the correct action; the nurse was following protocol by informing the patient about hospital policy. 4. The nurse should have allowed the patient to have as many family members as she wanted to be present.